APPLICATION OF COMBINED METHODS OF TREATMENT OF PATIENTS WITH DIABETIC GANGRA OF THE LOWER LIMBS
Main Article Content
Abstract
The study included 156 patients, all patients had purulent-necrotic lesions of the feet, developing against the background of ischemia in diabetic foot syndrome. All patients in the department, depending on the segment of the lesion of the arteries of the lower extremities, underwent planned balloon angioplasty and, according to indications, stenting of the affected segment. Long-term intra-arterial therapy, most often, was carried out after complicated revascularizing surgical interventions.
The results showed that intra-arterial administration of drugs after endovascular balloon angioplasty (or after stenting) is an effective way to relieve critical ischemia of the lower extremities against the background of diabetic foot syndrome.
Downloads
Article Details
References
Gostishchev V.K., Afanasyev A.N., Khokhlov A.M. Surgical treatment of diabetic osteoarthropathy complicated by purulent-necrotic lesions of the feet // Surgery. - 2013. - No. 7. P.40-44.
Zoloeva E.I. Modern approaches to the etiopathogenetic treatment of fungal pathology in patients with diabetes mellitus: Dis. ... Cand. honey. sciences. - M., 2020 . P.156.
Pokrovsky A.V. et al. Comprehensive approach in the treatment of critical ischemia of the diabetic foot. - M., 2016 . P. 188.
Rukavishnikova V.M. Mycoses of the feet. - M., 2019 . P. 220.
Sergeev A.Yu., Sergeev Yu.V. Fungal Infections: A Guide for Physicians. - M., 2018 . P. 34.
Albreski D.F., Gross T.G. The Safety of Itraconazole in the Diabetic Population // J. Amer. Podiatric. Med. Assoc. – 2021. – Vol. 89, №7. – P. 339-345.
Frykberg R.G., Bevilacqua N.J., Habershaw G. Surgical off-loading of the diabetic foot // J. Vasc. Surg. – 2010. – Vol. 52 (3 Suppl). – P. 44-58.
Jones W.S., Patel M.R., Dai D. et al. Temporal trends and geographic variation of lower-extremity amputation in patients with peripheral artery disease: results from U.S. Medicare 2000-2008 // J. Amer. Coll. Cardiol. – 2012. – Vol. 60 (21). – P. 2230-2236.