Surgical treatment with ischemic diabetic foot syndrome

Abstract

In above 55% of diabetic patients peripheral arterial disease coexist. In the group of patients with diabetes and peripheral neuropathy the peripheral arterial disease is diagnosed later compared to the patients without diabetes. For this reason, patients with diabetes and peripheral arterial disease reveal high risk for amputation. It is also accomanied by a high lekelihood for cardiovascular and cerebrovascular disease. The indications for limb revascularization are intermitten claudication or critical limb ischemia. Two general techniques of revascularization exist: open surgical procedures and endovascular interventions. The two approaches may be combined. The kind of procedure depends on the stage and localisation of the disease and another coexisting factors. Sometimes the revascularization is impossible and the amputation of the limb is the only solution of ischemic foot.