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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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ORIGINAL ARTICLES  DIABETIC LIMB SALVAGE


The Journal of Cardiovascular Surgery 2012 Febbraio;53(1):61-8

lingua: Inglese

Is digital arteries recanalization useful to preserve the foot functionality and avoid toes amputation, after pedal recanalization? Clinical results

Manzi M. 1, Palena L. M. 1, Brocco E. 2

1 Unit of Interventional Radiology, Foot and Ankle Clinic, Policlinico Abano Terme, Abano Terme, Padua, Italy;
2 Diabetic Foot Department, Policlinico Abano Terme, Abano Terme, Padua, Italy


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RESULTS: 1057 consecutive patients with CLI were treated and in 24 cases (2.3%), after tibial and foot arteries PTA, related to the presence of arterial lesion (stenosis/occlusion) in the digital branches, the recanalization of the target vessel was performed. Acute technical success was achieved in 100% of cases, with adequate angiographic results without peri-procedural complications. Clinical improvement was obtained and maintained after an average of 9 months. Amputation was avoided in 9 patients (37.5%), in 8 patients (29.6%) amputation involved only a distal phalange, in 5 patients (20.8%) toe amputations was necessary, in 2 patients (8.4%) trans-metatarsal amputation was performed. No below the ankle (BTA) or major amputations were performed.
CONCLUSION:Endovascular recanalization of digital branches in patients with CLI and distal wounds on the toes is feasible and safe; represent a support to avoid minor amputations or surgical skin lesion healing.

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marianopalena@hotmail.com