A rational recognition of interventional teatment for diabetic foot
- VernacularTitle:糖尿病足介入治疗的几个问题
- Author:
Maoquan LI
;
Yongde CHEN
- Publication Type:Journal Article
- Keywords:
Diabetic foot;
Percutaneous transluminal angioplasty;
Thrombolysis
- From:
Journal of Interventional Radiology
2006;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
According to program of vascular examination of diabetic foot, the first choice is vascular ultrasonography as the general survey, followed by CTA and MRA for assessment of bilateral lower extremities arterial morphological changes. Lastly, arterial angiography including DSA still remain as the gold standard for estimation. The main pathologic changes of diabetic foot including arteriolar and microvascular disorders induce the extemely important interventional treatment especially the local thrombolytic infusion to be the real practical management besides local PTA and stenting are furthermore in consideration. As a general metabolic disease, the serial treatment should also include promoting blood flow, removing blood stasis and improving microcirculation . Evaluation of interventional treatment for diabetic foot should undertake not only the vascular stenosis and restenosis ,but also the relief of clinical symptom and improvement of amputation level.
