Ignatovich I N, Kondratenko G G, Leonovich S I
Angiol Sosud Khir. 2012;18(2):15-9.
The authors investigated peculiarities of occlusive and stenotic arterial lesions influencing the pattern of revascularization in patients presenting with a neuroischaemic form of diabetic foot syndrome. We examined a total of 106 patients with a neuroischaemic form of diabetic foot syndrome and undergoing treatment at the City Municipal Centre for Diabetic Foot in the City of Minsk. In order to visualize the arteries in 82 (77.4%) cases we used contrast-enhanced angiography, in 16 (15.1%) cases - CT angiography, and in 8 (7.5%) cases a combination of the both methods was used. The overwhelming majority of patients were found to have distal occlusion with lesions of three and two crural arteries. Standard approaches made it possible to perform revascularization only in 46 (43.9%) patients in the examined group. A promising trend of improving rendering care for patients with a neuroischaemic form of diabetic foot syndrome and decreasing the rate of high amputations consists in thrther development and implementation of hybrid technologies of limb revascularization, as well as adequate material and technical provision of such interventions.
作者研究了影响糖尿病足综合征神经缺血型患者血管重建模式的闭塞性和狭窄性动脉病变的特点。我们共检查了106例糖尿病足综合征神经缺血型患者，这些患者正在明斯克市市立糖尿病足中心接受治疗。为了使动脉显影，82例（77.4%）患者采用了增强血管造影，16例（15.1%）患者采用了CT血管造影，8例（7.5%）患者同时使用了这两种方法。绝大多数患者被发现存在远端闭塞，累及三条和两条小腿动脉。标准方法仅使检查组中的46例（43.9%）患者能够进行血管重建。改善对糖尿病足综合征神经缺血型患者的护理并降低高位截肢率的一个有前景的趋势在于进一步开发和应用肢体血管重建的混合技术，以及为此类干预提供充足的物质和技术支持。
