Pedal Bypass in the Treatment of Diabetic Gangrene

J 2003

Pedal Bypass in the Treatment of Diabetic Gangrene

STAFFA, Robert, Jindřich LEYPOLD, Zdeněk KŘÍŽ and Martin DVOŘÁK

Basic information

Original name

Pedal Bypass in the Treatment of Diabetic Gangrene

Name in Czech

Pedální bypass v léčbě diabetické gangrény

Authors

STAFFA, Robert (203 Czech Republic, guarantor), Jindřich LEYPOLD (203 Czech Republic), Zdeněk KŘÍŽ (203 Czech Republic) and Martin DVOŘÁK (203 Czech Republic)

Edition

Cardiovascular Surgery, Elsevier, 2003, 0967-2109

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Italy

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.872

RIV identification code

RIV/00216224:14110/03:00058762

Organization unit

Faculty of Medicine

Keywords in English

pedal bypass; diabetic gangrene; revascularization

Abstract

ORIG CZ

V originále

The authors present case records of patients with wet diabetic gangrene of the foot in whom amputation of the limb was considered owing to adverse angiographic finding and because all possibilities of conservative therapy have been exhausted. A revision of distal segments of crural and pedal arteries and the subsequent bypass implants reversed the previous adverse development. In all patients, the defects have healed in relatively short time and their limbs were saved. After having described the above-mentioned clinical cases (picture documentation of the foot defects, angiography before and after the surgery), the authors open the discussion of the prospects of vascular surgery in the dealing with the most serious phases of the diabetic leg syndrome. Angiography often does not provide information on the situation in the distant periphery of limb arteries owing to the fact that the contrast medium cannot penetrate there through the stenotic and obliterated arterial sections or because of the summation with the bone shadow opacity. Even in cases of adverse angiographic findings, the authors recommend a revision of distal crural or pedal arteries.

In Czech

Autoři prezentují klinické případy pacientů s pokročilou diabetickou gangrénou nohy u nichž vzhledem k nepříznivé angiografii byla zvažována vysoká amputace končetiny. Revizí pedálních tepen a následným pedálním bypassem se podařilo ve všech uvedených případech ohroženou končetinu zachovat.

Citovat

STAFFA, Robert, Jindřich LEYPOLD, Zdeněk KŘÍŽ and Martin DVOŘÁK. Pedal Bypass in the Treatment of Diabetic Gangrene. Cardiovascular Surgery. Elsevier, 2003, vol. 11, (Suppl 2), p. 101-1, 1 pp. ISSN 0967-2109.

@article{721074,
   author = {Staffa, Robert and Leypold, Jindřich and Kříž, Zdeněk and Dvořák, Martin},
   article_number = {(Suppl 2)},
   keywords = {pedal bypass; diabetic gangrene; revascularization},
   language = {eng},
   issn = {0967-2109},
   journal = {Cardiovascular Surgery},
   title = {Pedal Bypass in the Treatment of Diabetic Gangrene},
   volume = {11},
   year = {2003}
}

TY  - JOUR
ID  - 721074
AU  - Staffa, Robert - Leypold, Jindřich - Kříž, Zdeněk - Dvořák, Martin
PY  - 2003
TI  - Pedal Bypass in the Treatment of Diabetic Gangrene
JF  - Cardiovascular Surgery
VL  - 11
IS  - (Suppl 2)
SP  - 101-1
EP  - 101-1
PB  - Elsevier
SN  - 09672109
KW  - pedal bypass
KW  - diabetic gangrene
KW  - revascularization
N2  - The authors present case records of patients with wet diabetic gangrene of the foot in whom amputation of the limb was considered owing to adverse angiographic finding and because all possibilities of conservative therapy have been exhausted. A revision of distal segments of crural and pedal arteries and the subsequent bypass implants reversed the previous adverse development. In all patients, the defects have healed in relatively short time and their limbs were saved. After having described the above-mentioned clinical cases (picture documentation of the foot defects, angiography before and after the surgery), the authors open the discussion of the prospects of vascular surgery in the dealing with the most serious phases of the diabetic leg syndrome. Angiography often does not provide information on the situation in the distant periphery of limb arteries owing to the fact that the contrast medium cannot penetrate there through the stenotic and obliterated arterial sections or because of the summation with the bone shadow opacity. Even in cases of adverse angiographic findings, the authors recommend a revision of distal crural or pedal arteries.
ER  -

STAFFA, Robert, Jindřich LEYPOLD, Zdeněk KŘÍŽ and Martin DVOŘÁK. Pedal Bypass in the Treatment of Diabetic Gangrene. \textit{Cardiovascular Surgery}. Elsevier, 2003, vol.~11, (Suppl 2), p.~101-1, 1 pp. ISSN~0967-2109.

Detailed Information on Publication Record