Cell Therapy and Peripheral Artery Disease: Diabetics first!

Author(s):  
Bertrand Lehalle ◽  
Arnaud Dosda ◽  
Philippe Jan ◽  
Jean-François Stoltz

Drawing on our clinical expertise with diabetic patients and on a retrospective study focused on patients with foot ulcers or wounds and Peripheral Artery Disease, we show a healing problem exists specifically in diabetic patients, despite arterial revascularization. To overcome this specific problem, Cell Therapy could be a way, exclusively aimed at diabetic patients. We explain the reasons why, as well as the ways and means, and more particularly the concept of tissue reversibility.

2011 ◽  
Vol 53 (4) ◽  
pp. 984-991 ◽  
Author(s):  
Victor Aboyans ◽  
Philippe Lacroix ◽  
Minh-Hoang Tran ◽  
Claire Salamagne ◽  
Sophie Galinat ◽  
...  

2018 ◽  
Vol 36 (Supplement 1) ◽  
pp. e281
Author(s):  
L. Maroda ◽  
A. Koncz ◽  
T. Kobling ◽  
M. Zrinyi ◽  
M. Semjeni ◽  
...  

2019 ◽  
Vol 13 ◽  
pp. 175394471881906 ◽  
Author(s):  
Samir Henni ◽  
Pascal Bauer ◽  
Tanguy Le Meliner ◽  
Jeanne Hersant ◽  
Xavier Papon ◽  
...  

Background: The prevalence of exercise-induced ischemia in the asymptomatic limb of patients with unilateral claudication based on history and treadmill evaluation, and with unilateral ipsilateral peripheral artery disease (i.e ankle-to-brachial systolic pressure index <0.90) is unknown. Methods: We detected exercise-induced ischemia in the asymptomatic limb of patients with apparently unilateral claudication. Among 6059 exercise-oximetry tests performed in 3407 nondiabetic and 961 diabetic patients. We estimated the intensity of ischemia in the both limb (buttocks and calves) using the lowest minimum value of the decrease from rest of oxygen pressure (DROP; limb changes minus chest changes from rest), with significant ischemia defined as DROP lower than −15 mmHg. Results: We found 152 tests performed in 142 nondiabetic patients and 40 tests performed in 38 diabetic patients. The asymptomatic limb showed significant ischemia in 46.7% and 37.5% of the tests. Strictly unilateral exercise-induced claudication with apparently unilateral peripheral artery disease was rare (<4% of all tests). However, among these highly selected tests, significant ischemia was found in the asymptomatic limb in more than one-third of cases. Conclusion: The asymptomatic limb of patients with peripheral artery disease should not be considered a normal limb.


2015 ◽  
Vol 21 (1) ◽  
pp. 21-32 ◽  
Author(s):  
P Michael Grossman ◽  
Emile R Mohler ◽  
Blake J Roessler ◽  
Robert L Wilensky ◽  
Bruce L Levine ◽  
...  

2012 ◽  
Vol 59 (13) ◽  
pp. E2073
Author(s):  
Paul Michael Grossman ◽  
Emile Mohler ◽  
Blake J. Roessler ◽  
Robert Wilensky ◽  
Bruce L. Levine ◽  
...  

2020 ◽  
Vol 64 ◽  
pp. 239-245 ◽  
Author(s):  
Umberto Marcello Bracale ◽  
Raffaele Pio Ammollo ◽  
Emad A. Hussein ◽  
Jamal J. Hoballah ◽  
Olivier Goeau-Brissonniere ◽  
...  

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