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.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Italy
Confidentiality degree is not subject to a state or trade secret
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
Tags diabetic gangrene, Pedal bypass, revascularization
Tags International impact, Reviewed
Changed by Changed by: prof. MUDr. Robert Staffa, Ph.D., učo 226. Changed: 15/7/2007 21:13.
Abstract
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.
Abstract (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.
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