Improving limb salvage rate in diabetic patients with critical leg ischaemia using a multidisciplinary approach

International Journal of Clinical Practice

Volumn 63, Issue 6, 2009, Pages 855-858

  Zayed, H ^a   Halawa, M ^a   Maillardet, L ^a   Sidhu, P S ^a   Edmonds, M ^a   Rashid, H ^a,b  

^a KING S COLLEGE HOSPITAL   (United Kingdom)

^b KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTERY RECONSTRUCTION; ARTICLE; DIABETIC PATIENT; FEMALE; FOLLOW UP; HIGH RISK PATIENT; HUMAN; INSULIN DEPENDENT DIABETES MELLITUS; LEG ISCHEMIA; LIMB AMPUTATION; LIMB SALVAGE; MAJOR CLINICAL STUDY; MALE; NON INSULIN DEPENDENT DIABETES MELLITUS; PATIENT CARE; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; PRIORITY JOURNAL; RETROSPECTIVE STUDY; REVASCULARIZATION; TREATMENT INDICATION; TREATMENT OUTCOME; AMBULATORY CARE; DIABETIC ANGIOPATHIES; ISCHEMIA; LEG; MIDDLE AGED; PROCEDURES; RISK FACTOR; VASCULARIZATION; VERY ELDERLY;

ANTIINFECTIVE AGENT;

ADULT; AGED; AGED, 80 AND OVER; AMBULATORY CARE; ANTI-BACTERIAL AGENTS; DIABETIC ANGIOPATHIES; FEMALE; HUMANS; ISCHEMIA; LEG; LIMB SALVAGE; MALE; MIDDLE AGED; PATIENT CARE TEAM; RETROSPECTIVE STUDIES; RISK FACTORS; TREATMENT OUTCOME;

EID: 65649121856     PISSN: 13685031     EISSN: 17421241     Source Type: Journal    
DOI: 10.1111/j.1742-1241.2007.01608.x     Document Type: Article

References (19)

1. McNeely M, Bokyo EJ, Ahroni JH et al. The independent contributions of diabetic neuropathy and vasculopathy in foot ulceration: how great are the risks Diabetes Care 1995 18 : 216 9.
2. Boulton A, vileikyte L. The diabetic foot: the scope of the problem. J Fam Pract 2000 49 : S3 8.
3. Dargis V, Olga P, Jonushaite A et al. Benefits of a multidisciplinary approach in the management of recurrent diabetic foot ulceration in Lithuania: a prospective study. Diabetes Care 1999 22 : 1428 31.
4. World Health Organization (Europe), International Diabetes Foundation (Europe). Diabetes care and research in Europe: the Saint Vincent Declaration. Diabet Med 1990 7 : 360.
5. Christopher J, Libby G, Brennan GM et al. Mortality and hospitalisation in patients after amputation: a comparison between patients with and without diabetes. Diabetes Care 2006 29 : 2252 6.
6. Tentolouris N, Al-Sabbagh S, Walker MG et al. Mortality in diabetic and nondiabetic patients after amputations performed from 1990 to 1995: a 5-year follow-up study. Diabetes Care 2004 27 : 1598 604.
7. Elsakka K, Fassiadis N, Gambhir R et al. An integrated care pathway to save the critically ischaemic diabetic foot. Int J Clin Pract 2006 60 : 667 9.
8. Muhs BE, Gagne P, Sheehan P. Peripheral arterial disease: clinical assessment and indications for revascularization in the patient with diabetes. Curr Diab Rep 2005 5 : 24 9.
9. Da Silva AF, Desgranges P, Holdsworth J et al. The management and outcome of critical limb ischaemia in diabetic patients: results of a national survey. Audit committee of the Vascular Surgical Society of Great Britain and Ireland. Diabet Med 1996 13 : 726 8.
10. Van Damme H, Rorive M, Martens De Noorthout BM et al. Amputations in diabetic patients: a plea for foot-sparing surgery. Acta Chir Belg 2001 101 : 123 9.
11. Miyajima S, Shirai A, Yamamoto S et al. Risk factors for major limb amputations in diabetic foot gangrene patients. Diabetes Res Clin Pract 2006 71 : 272 9.
12. Aksoy DY, Gurlek A, Cetinkaya Y et al. Change in the amputation profile in diabetic foot in a tertiary reference centre: efficacy of team working. Exp Clin Endocrinol Diabetes 2004 112 : 526 30.
13. Larsson J, Apelqvist J, Agardh CD, Stenstrom A. Decreasing incidence of major amputation in diabetic patients: a consequence of a multidisciplinary foot care team approach Diabet Med 1995 12 : 770 6.
14. Orozco-Beltran D, Gil-Guiien VF, Quirce F et al. Control of diabetes and cardiovascular risk factors in patients with type 2 diabetes in primary care. The gap between guidelines and reality in Spain. Int J Clin Pract 2007 61 : 909 15.
15. Faglia E, Clerici G, Clerissi J et al. Early and five-year amputation and survival rate of diabetic patients with critical limb ischaemia: data of a cohort study of 564 patients. Eur J Vasc Endovasc Surg 2006 32 : 484 90.
16. Siskin G, Darling RC, Stainken B et al. Combined use of iliac artery angioplasty and infrainguinal revascularization for treatment of multilevel atherosclerotic disease. Ann Vasc Surg 1999 13 : 45 51.
17. Peterkin GA, Belkin M, Cantelmo NL et al. Combined transluminal angioplasty and infrainguinal reconstruction in multilevel atherosclerotic disease. Am J Surg 1990 160 : 277 9.
18. Dick F, Diehm N, Galimanis A et al. Surgical or endovascular revascularization in patients with critical limb ischaemia: influence of diabetes mellitus on clinical outcome. J Vasc Surg 2007 45 : 751 61.
19. Adam DJ, Beard JD, Cleveland T et al. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre randomised controlled trial. Lancet 2005 366 : 1925 34.