scholarly journals Features of performing arteriography in patients with diabetes mellitus with critical ischemia of the lower limb

2018 ◽  
Vol 24 (2) ◽  
pp. 14-19
Author(s):  
S.M. Didenko
Keyword(s):  
Diabetes Mellitus ◽  
Femoral Artery ◽  
Lower Limb ◽  
Ultrasound Examination ◽  
Common Femoral Artery ◽  
Critical Ischemia ◽  
Ukrainian Patent ◽  
Patients With Diabetes ◽  
The Common ◽  
Angiographic Examination

Objective — to study the features of performing arteriography in patients with diabetes mellitus with chronic critical ischemia of the lower limb with stenotic-occlusive lesions of the arteries of the popliteo-tibial segments. Materials and methods. The arteriography experience in 108 patients with diabetes mellitus 2 type with chronic critical ischemia of the lower limb has been analyzed. All patients had stenotic-occlusive lesions of the arteries of the popliteo-tibial segments for the passable arteries of the ilio-femoral segments.The first group included 56 patients, who performed arteriography according to the proposed methodology (Ukrainian patent for utility model No. 114970 dated March 27, 2017, «Method of angiographic examination of lower extremity arteries in patients with ischemic form of diabetic foot syndrome»), the second group included 52 patients, who performed arteriography by Seldinger’s method. Results. With the help of ultrasound examination it was proved that 63.1 % of the common femoral artery blood volume in patients with diabetes mellitus with chronic critical ischemia of the lower limb with stenotic-occlusive lesions of the arteries of the popliteo-tibial segments is divided to the superficial femoral artery and 36.9 % in the deep femoral artery. Application of the developed method of arteriography has allowed to reduce the amount of active ingredient of contrast, which was administered to patients in the first group 2.16 times in comparison with the second group. In the first group the percentage of hemorrhagic complications was significantly lower than in the second group. Conclusions. The developed method of performing arteriography should be used in patients with diabetes mellitus with chronic critical ischemia of the lower limb with stenotic-occlusive lesions of the arteries of the popliteo-tibial segments.

Ballistic Arterial Trauma to the Lower Extremity: Recent South African Experience

2007 ◽  
Vol 73 (11) ◽  
pp. 1136-1139 ◽  
Author(s):  
Elias Degiannis ◽  
Douglas M. Bowley ◽  
Frank Bode ◽  
William R. Lynn ◽  
Miriam Glapa ◽  
...  
Keyword(s):  
Lower Extremity ◽  
South African ◽  
Femoral Artery ◽  
Popliteal Artery ◽  
Lower Limb ◽  
Common Femoral Artery ◽  
African Experience ◽  
Arterial Trauma ◽  
Significant Disability ◽  
The Common

The aim of this study was to determine the current outcome of gunshots to the arteries of the lower extremity. The authors conducted a retrospective analysis of 104 patients with gunshots to the femoral (n = 71) and popliteal (n = 33) artery. One hundred four patients presented over the 60-month period. Ninety-six (92%) were male and eight of 104 female. Ninety-nine were gunshot injuries, five from shotguns. Nine patients had injury to the common femoral artery, 62 patients had injury to the superficial femoral artery, and 33 had popliteal artery injury. One patient died in the emergency room and another died in the postoperative period, giving an overall in-hospital mortality of two of 104 (1.9%). Forty-three of 70 femoral reconstructions had completion angiograms compared with 20 of 32 popliteal artery reconstructions ( P = 1). Nineteen of 63 (30%) of the completion angiograms prompted revision of the reconstruction. Of the 63 patients who had completion angiograms, two of 63 (3%) required amputation. Seven of 39 (18%) patients who did not have completion angiograms required amputation ( P = 0.025). Including the primary amputation, there were 10 amputations in the 103 patients (9.7%) who survived to undergo operation. Ballistic arterial trauma of the lower limb leads to significant disability. Completion arteriography leads to revision of the reconstruction in nearly one-third of instances and significantly reduces amputation rate.

scholarly journals RARE VERSION OF TOPOGRAPHY OF DEEP FEMORAL ARTERY

2020 ◽  
Vol 8 (4) ◽  
pp. 591-598
Author(s):  
R.E. Kalinin ◽  
◽  
I.A. Suchkov ◽  
E.A. Klimentova ◽  
I.N. Shanaev ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Femoral Vein ◽  
Coronary Vessels ◽  
Common Femoral Artery ◽  
Lower Limbs ◽  
Deep Femoral Artery ◽  
Lower Trunk ◽  
Endovascular Interventions ◽  
The Common ◽  
Angiographic Examination

The deep femoral artery is a large branch of the common femoral artery that is of much interest for vascular and endovascular surgeons due to the role it plays in collateral circulation between the vessels of the small pelvis and arteries of the popliteal-tibial segment. In most cases, the deep femoral artery branches off from the posterolateral or posterior surface of the common femoral artery. At the same time, anomalies of development of the deep femoral vessels may become the cause for iatrogenic damages in implementation of the open or endovascular interventions. In the article, a clinical case of a patient referred for a planned ultrasound examination of vessels of the lower limbs before angiographic examination of the vessels of the heart and of the lower limbs, is described that revealed atypical topography of branching of the two trunks of the deep femoral artery from the common femoral artery. The upper trunk of the deep femoral artery branched off from the anteromedial surface of the common femoral artery and in the initial part was positioned above the common femoral vein. The lower trunk of the deep femoral artery sepa-rated from the anterolateral surface of the common femoral artery. Preoperative identification of the variant anatomy of the vessels of the femoral triangle permitted to perform angiographic examination of the coronary vessels through the femoral artery on the contralateral limb without complications.

Initial Experience with Percutaneous Angioplasty of the Common Femoral Artery in De Novo Stenotic Lesions

2015 ◽  
Vol 29 (8) ◽  
pp. 1493-1500 ◽  
Author(s):  
Romain de Blic ◽  
Jean-François Deux ◽  
Hicham Kobeiter ◽  
Pascal Desgranges ◽  
Jean-Pierre Becquemin ◽  
...  
Keyword(s):  
Femoral Artery ◽  
De Novo ◽  
Common Femoral Artery ◽  
Initial Experience ◽  
Percutaneous Angioplasty ◽  
The Common ◽  
Stenotic Lesions

Anomalous High Bifurcation of the Common Femoral Artery at the Groin: Management of Gsv Incompetence with Endovenous Laser Ablation

2012 ◽  
Vol 28 (5) ◽  
pp. 264-267 ◽  
Author(s):  
C Lekich ◽  
W Campbell ◽  
S Walton ◽  
P Hannah
Keyword(s):  
Laser Ablation ◽  
Femoral Artery ◽  
Vascular Complications ◽  
Common Femoral Artery ◽  
Vascular Anomalies ◽  
Endovenous Laser Ablation ◽  
Safe Treatment ◽  
Complications Of Surgery ◽  
The Common ◽  
Saphenofemoral Junction

Objectives: To discuss safety of EVLA in anomalies of the GSV anatomy. To review and discuss complications of surgery involving anomalous anatomy. Method: We report a case of high bifurcation of the common femoral artery wrapping around the saphenofemoral junction. Results: Successful ablation was achieved with no adverse consequences. Conclusion: EVLA is a safe treatment for SFJ/GSV incompetence in the presence of vascular anomalies that have historically resulted in serious vascular complications from surgery.

scholarly journals Experiences and guidelines for footcare practices of patients witli diabetes mellitus

Curationis ◽  
2003 ◽  
Vol 26 (1) ◽  
Author(s):  
P. Matwa ◽  
M. M. Chabeli ◽  
M. Muller ◽  
N. S. Levitt
Keyword(s):  
Diabetes Mellitus ◽  
Lower Limb ◽  
Rural Areas ◽  
Self Management ◽  
Diabetic Patients ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
The Poor ◽  
Patients With Diabetes ◽  
Poor Infrastructure

The former Transkei is a predominantly rural region of the Eastern Cape Province. The poor infrastructure in this area results in inaccessibility of the available health services. The majority is ill equipped to deliver optimum diabetes care. There is an increase of lower limb amputations and lack of knowledge among patients with diabetes mellitus in the former Transkei. These complications can be prevented by patient education on self-management and appropriate footcare procedures. This qualitative study was conducted to explore and describe the experiences and footcare practices of diabetic patients who live in the rural areas of Transkei.

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