Treatment of peripheral arterial disease in diabetes: A consensus of the Italian Societies of Diabetes (SID, AMD), Radiology (SIRM) and Vascular Endovascular Surgery (SICVE)
Treatment of peripheral arterial disease in diabetes: A consensus of the Italian Societies of Diabetes (SID, AMD), Radiology (SIRM) and Vascular Endovascular Surgery (SICVE)
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DOI：
10.1016/j.numecd.2013.12.007
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发表时间：
2014-04-01
影响因子：
3.9
通讯作者：
Uccioli, L.
中科院分区：
文献类型：
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作者：
Aiello, A.;Anichini, R.;Uccioli, L.
糖尿病足（DF）是糖尿病的一种慢性且高度致残的并发症。糖尿病患者外周动脉疾病（PAD）的患病率很高，50%的DF病例中可发现PAD与周围神经病变（PN）相关或无关。值得指出的是，糖尿病患者的大截肢数量仍然很高。许多PAD糖尿病患者由于缺乏技术专长或更糟的是由于经验不足而产生的负面信念而没有进行血运重建。尽管远端血运重建技术取得了进展，现在允许重新打开腿部和足部的远端动脉。意大利是欧洲主要截肢率最低的国家之一，在保肢领域有着悠久的传统，采用积极的方法进行清创、抗生素治疗和远端血运重建。因此，我们认为，根据意大利在这一领域的经验，制定一份关于糖尿病患者PAD治疗和保肢的共识文件，与科学界分享是合适的。(C)2013年爱思唯尔B。V.保留所有权利。
Diabetic foot (DF) is a chronic and highly disabling complication of diabetes. The prevalence of peripheral arterial disease (PAD) is high in diabetic patients and, associated or not with peripheral neuropathy (PN), can be found in 50% of cases of DF. It is worth pointing out that the number of major amputations in diabetic patients is still very high. Many PAD diabetic patients are not revascularised due to lack of technical expertise or, even worse, negative beliefs because of poor experience. This despite the progress obtained in the techniques of distal revascularisation that nowadays allow to reopen distal arteries of the leg and foot. Italy has one of the lowest prevalence rates of major amputations in Europe, and has a long tradition in the field of limb salvage by means of an aggressive approach in debridement, antibiotic therapy and distal revascularisation. Therefore, we believe it is appropriate to produce a consensus document concerning the treatment of PAD and limb salvage in diabetic patients, based on the Italian experience in this field, to share with the scientific community. (C) 2013 Elsevier B. V. All rights reserved.