Is endovascular revascularisation worthwhile in diabetic patients with critical limb ischemia who also have end-stage
Martín Rabellino1, Javier Aragón-Sánchez, Gabriela González
1Interventional Radiology Department, Hospiten Group, Santa Cruz de Tenerife, Spain. jmrabellino@hotmail.com
Diabetes Research and Clinical Practice
|October 30, 2010
Insights
Endovascular treatment for diabetic patients with critical limb ischemia and end-stage renal disease achieved limb salvage in 58.6% of cases. Major amputations were avoided in patients with rest pain or early-stage lesions.
Area of Science:
- Vascular Surgery
- Nephrology
- Diabetology
Background:
- Critical limb ischemia (CLI) in diabetic patients with end-stage renal disease (ESRD) presents significant treatment challenges.
- Endovascular therapy offers a less invasive approach for limb salvage in complex patient populations.
Purpose of the Study:
- To evaluate the outcomes of endovascular treatment in diabetic patients suffering from CLI and ESRD.
- To assess limb salvage rates and the need for major amputations in this high-risk group.
Main Methods:
- Retrospective analysis of diabetic patients with CLI and ESRD undergoing endovascular treatment.
- Assessment of limb salvage rates, amputation rates, and follow-up duration.
Main Results:
- Limb salvage was achieved in 58.6% of treated limbs.
- Mean follow-up period was 12.4 months.
- No major amputations were necessary for patients presenting with rest pain or Rutherford grade 1 CLI.
Conclusions:
- Endovascular treatment can be a viable option for limb salvage in diabetic patients with CLI and ESRD.
- Early intervention in patients with less severe disease (rest pain, grade 1 lesions) can prevent major amputations.
Abstract:
To present the outcomes of endovascular treatment of diabetics patients with critical limb ischemia who have end-stage renal disease. Limb-salvage was achieved in 58.6% of the limbs during a mean follow-up period of 12.4 months. No major amputations were required on patients with rest pain or with grade 1 lesions.
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