Morphological characteristics of lesions of the lowerextremity arteries in diabetes mellitus patients in Russia
- Authors: Kaputin MY.1, Ovcharenko DV1, Platonov SA2, Dudanov IP2
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Affiliations:
- St. Petersburg I.I. Dzhanelidze Emergency Medical Care Institute
- Karelian Scientific Medical Center, North-West Department of RAMS, Petrozavodsk
- Issue: Vol 9, No 1 (2009)
- Pages: 118-120
- Section: Articles
- URL: https://journals.eco-vector.com/MAJ/article/view/9343
- DOI: https://doi.org/10.17816/MAJ91118-120
- ID: 9343
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Abstract
Endovascular techniques are widely used in many countries to treat peripheral artery lesions in diabetes mellitus patients suffering from neuroischemic foot ulcers and foot gangrene. However, the most comprehensive studies on this issue were carried out in Italy, where the incidence of peripheral atherosclerosis-is relatively low. In order to be able to apply the Italian findings in Russia, we have studied the morphology of lesions of the lower-extremity arteries in the Russian population of diabetes mellitus patients, and have compared our observations to the Italian data. Our study has revealed a greater severity of lesions of the lower-extremity arteries in the Russian population of diabetes mellitus patients. This, in addition to the often inadequate postoperative care, explains the higher incidence of recurrent critical ischemia of the lower extremities in the Russian patients.
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About the authors
M Yu Kaputin
St. Petersburg I.I. Dzhanelidze Emergency Medical Care Institute
D V Ovcharenko
St. Petersburg I.I. Dzhanelidze Emergency Medical Care Institute
S A Platonov
Karelian Scientific Medical Center, North-West Department of RAMS, Petrozavodsk
I P Dudanov
Karelian Scientific Medical Center, North-West Department of RAMS, Petrozavodsk
References
- Дуданов И.П., Карпов А.В., Капутин М.Ю. Критическая ишемия нижних конечностей в преклонном и старческом возрасте. Петрозаводск, 2009. 200 с.
- Капутин М.Ю., Овчаренко Д.В., Сорока В.В., Боровский И.Э., Дуданов И.П., Бреговский В.Б. Транслюминальная баллонная ангиопластика у больных сахарным диабетом с критической ишемией нижних конечностей // Диагност, и интервен. радиол. 2008. № 2. Р. 51-59.
- Капутин М.Ю., Овчаренко Д.В., Сорока В.В., Боровский И.Э. Субинтимальная ангиопластика в лечении больных с критической ишемией нижних конечностей // Мед. акад. журн. 2007. Т. 7. № 3. Р. 103-108.
- Catalano М. Epidemiology of critical limb ischaemia: North Italian data // Eur. J. Med. 1993. ѴЫ. 2. P. 11-14.
- Faglia E., Dalla Paola L., Clerici G. et al. Peripheral angioplasty as the first-choice revascularization procedure in diabetic patients with critical limb ischemia: prospective study of 993 consecutive patients hospitalized and followed between 1999 and 2003 // Eur. J. Vase. Endovasc. Surg. 2005. Jun. Vol. 29(6). P 620- 627.
- Graziani L., Silvestro A., Bertone V. et al. Vascular involvement in diabetic subjects with ischemic foot ulcer: a new morphologic categorization of disease severity // Eur. J. Vase. Endovasc. Surg. 2007 Apr. Vol. 33 (4). P 453-160.