Complete Healing of the Diabetic Ulcerative Osteomyelitis with Atherectomy and Flexible Stent

Autor: Veysel Temizkan, Murat Ugur, Gokhan Arslan, Alper Ucak, Arif Selcuk, Oral Oncul, Ahmet Turan Yilmaz
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Archives of Clinical and Experimental Surgery, Vol 3, Iss 3, Pp 193-196 (2014)
Druh dokumentu: article
ISSN: 2146-8133
DOI: 10.5455/aces.20120802123704
Popis: Diabetes mellitus is a chronic disease that causes arterial and neurological disorders. Extremities threatening a diabetic foot ulcer might occur in the long term, especially in irregular glycemia levels. A multidisciplinary approach including infection treatment, pressure relief in the wound and arterial revascularization is important for limb salvage and to prevent such life-threatening complications as septicemia. Compared to the surgery, endovascular procedures can be performed with low complication rates in diabetic foot ulcers complicated with infection. Atherectomy is an alternative to the classical percutaneous angioplasty techniques, especially in totally occluded lesions. We are reporting complete healing of osteomyelitis associated with critical limb ischemia, resistant to classical treatment with debridement, antibacterial therapy and hyperbaric oxygen therapy, by atherectomy following long-segment flexible stent implantation. [Arch Clin Exp Surg 2014; 3(3.000): 193-196]
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