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2006, Number 2

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Anales de Radiología México 2006; 5 (2)

Angiographic findings in patients with diabetic foot

Viramontes TG, Enríquez GR, López VG, Serrano R, Guerrero AGML, Méndez PLR
Full text How to cite this article

Language: Spanish
References: 6
Page: 109-116
PDF size: 118.39 Kb.


Key words:

Arterial insufficiency, diabetes mellitus, arteriography.

ABSTRACT

Objectives: To prove the arterial insufficiency degree in patients with diabetic foot diagnosis.
Material and methods: A retrospective, transversal revision of the pelvic members arteriography interpretations was made in patients with diabetic foot diagnosis between January 2004 and June 2006. In the diagnosis, the affected member was evaluated. The angiographic interpretations of each pelvic member were valuated, establishing the category: Without lesion, show flow, stenosis and last, occlusion (in some cases with evidence of collateral circulation).
Results: The most frequent lesion localization were the anterior and posterior tibial arteries with predominance of the most affected side, on the left side, the main affection was in the posterior tibial artery, affecting 36 patients (79%) being the stenosis the most frequent category in 19 patients (41%). On the right pelvic member, the most frequent lesion was in the anterior tibial artery, showed in 33 patients (72%) being the stenosis the most frequent category showed in 18 patients (39.6%). The occlusion was observed in more distal levels and the lesions predominate in general underneath the popliteal artery.
Conclusion: The arterial insufficiency in patients with diabetic foot is symmetrical and with infrapopliteal predominance.


REFERENCES

  1. Latorre J, Escudero JR, Rosendo A. Pie diabético. Anales de Cirugía Cardiaca y Vascular 2006; 12(1): 12-26.

  2. Weitz J, Byrne J, et al. Diagnosis and treatment of chonic arterial insufficiency of the lower extremities: a critical review. Circulation 1996; 94: 3026-49.

  3. Lujan S, Criado E, Puras E, Izquierdo LM. Duplex scanning or arteriography for preoperative planning of lower limb revascularization. Eur J Vasc Endovasc Surg 2002; 24: 31-6.

  4. Satilli JD, Santilli SM. Chronic critical limb Ischemia: Diagnosis treatment and prognosis. 1999.

  5. London NJM, Donnelly R. ABC of arterial and venous disease: Ulcerated lower limb. BMJ 2000; 320; 1589-91.

  6. Thakur RS, Minhas SS, Dhiman DS, Abbey RK. Color flow Doppler: An emerging alternative to conventional arteriography for arterial mapping in peripheral arterial occlusive diasease. Indian J Surg 2006; 68: 17-22.




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Anales de Radiología México. 2006;5