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Care pathway to save the ischaemic diabetic foot

Discussion in 'Diabetic Foot & Wound Management' started by NewsBot, Jun 30, 2006.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    An integrated care pathway to save the critically ischaemic diabetic foot.
    Int J Clin Pract. 2006 Jun;60(6):667-9
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. robby

    robby Active Member

    This is an excellent study which confirms many of our beliefs regarding the treatment of diabetic patients, in that multidisciplinary teams give better outcomes.

    Before this study many of us were working towards this, and had anicdotal evidence to show results.

    This method of working has been written into the UK National Service Framework for the Diabetic Foot, which is available to order by emailing NDST@prolog.uk.com
    or by calling 08701555455 quote NDST024.
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    The role of a specialized approach for patients with diabetes, critical ischaemia and foot ulcers not previously considered for proactive management
    J. Aragón-Sánchez et al
    Diabetic Medicine (in press)
     
  5. blinda

    blinda MVP

    Talking of lower limb salvage, the 7th FDUK Masterclass is focusing on prevention, management and potential litigation of amputations....

    http://www.diabeticfootjournal.co.uk/eventsdetail.php?id=432&rp

    Robert; In light of your confession of harbouring a sordid curiosity in wound care, you may be interested to know that this is the first time the masterclass is being held in conjunction with the Wounds UK Conference in Harrogate. ;)

    Cheers,
    Bel
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Role of endovascular intervention in patients with diabetic foot ulcer and concomitant peripheral arterial disease.
    Claesson K, Kölbel T, Acosta S.
    Int Angiol. 2011 Aug;30(4):349-58.
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Endovascular Treatment of Diabetic Foot Syndrome: Results from a Single Center Prospective Registry Using Mixed Coronary and Peripheral Techniques and Equipment.
    Cardaioli P, Rigatelli G, Dell'avvocata F, Giordan M, Lisato G, Mollo F, Vassilev D, Nanjundappa A.
    J Interv Cardiol. 2011 Sep 12. doi: 10.1111/j.1540-8183.2011.00676.x. [Epub ahead of print]
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Surgical Treatment of Limb- and Life-Threatening Infections in the Feet of Patients With Diabetes and at Least One Palpable Pedal Pulse: Successes and Lessons Learnt.
    Aragón-Sánchez J, Lázaro-Martínez JL, Hernández-Herrero C, Campillo-Vilorio N, Quintana-Marrero Y, García-Morales E, Hernández-Herrero MJ.
    Int J Low Extrem Wounds. 2011 Oct 20. [Epub ahead of print]
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Diabetic foot ulcers and vascular insufficiency: our population has changed, but our methods have not.
    Armstrong DG, Cohen K, Courric S, Bharara M, Marston W.
    J Diabetes Sci Technol. 2011 Nov 1;5(6):1591-5.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Limb revascularization feasibility in diabetic patients with critical limb ischemia: Results from a cohort of 344 consecutive unselected diabetic patients evaluated in 2009

    Ezio Faglia et al
    Diabetes Research and Clinical Practice; Volume 95, Issue 3, March 2012, Pages 364–371
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Outcomes of Three Years of Teamwork on Critical Limb Ischemia in Patients With Diabetes and Foot Lesions
    Alessia Scatena et al
    International Journal of Lower Extremity Wounds June 2012 vol. 11 no. 2 113-119
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Endovascular management of patients with coronary artery disease and diabetic foot syndrome: A long-term follow-up.
    Rigatelli G, Cardaioli P, Dell'avvocata F, Giordan M, Lisato G, Mollo F.
    J Geriatr Cardiol. 2011 Jun;8(2):78-81.
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Diabetic revascularization: endovascular versus open bypass-do we have the answer?
    Conte MS.
    Semin Vasc Surg. 2012 Jun;25(2):108-14.
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Endovascular Treatment of Critical Ischemia in the Diabetic Foot: New Thresholds, New Anatomies.
    Georgakarakos E, Papanas N, Papadaki E, Georgiadis GS, Maltezos E, Lazarides MK.
    Angiology. 2012 Nov 4.
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Noninvasive management of the diabetic foot with critical limb ischemia: current options and future perspectives.
    Weck M, Slesaczeck T, Rietzsch H, Münch D, Nanning T, Paetzold H, Florek HJ, Barthel A, Weiss N, Bornstein S.
    Ther Adv Endocrinol Metab. 2011 Dec;2(6):247-55
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Angiosome-targeted infrapopliteal endovascular revascularization for treatment of diabetic foot ulcers.
    Söderström M, Albäck A, Biancari F, Lappalainen K, Lepäntalo M, Venermo M.
    J Vasc Surg. 2012 Dec 6
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    The ultrasound image characteristics of lower extremities arteries in diabetic foot
    Wen XR, Lü XF, Liu CC, Luo Y, Chen DW, Wang C, Ran XW.
    Sichuan Da Xue Xue Bao Yi Xue Ban. 2012 Sep;43(5):739-42.
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Analysis of the Effect and Medical Cost about Revascularization Procedure for Diabetic Foot
    Chun-hsu Chu
    Masters Thesis 2012
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Endovascular Treatment of Diabetic Foot in a Selected Population of Patients with Below-the-Knee Disease: Is the Angiosome Model Effective?
    Cardiovasc Intervent Radiol. 2013 Jan 29.
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Readmissions of patients with diabetes mellitus and foot ulcers after infra-popliteal bypass surgery - attacking the problem by an integrated case management model.
    Rümenapf G, Geiger S, Schneider B, Amendt K, Wilhelm N, Morbach S, Nagel N.
    Vasa. 2013 Jan;42(1):56-67.

     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    The impact of arterial pedal arch quality and angiosome revascularization on foot tissue loss healing and infrapopliteal bypass outcome.
    Rashid H, Slim H, Zayed H, Huang DY, Wilkins CJ, Evans DR, Sidhu PS, Edmonds M.
    J Vasc Surg. 2013 Mar 20. pii: S0741-5214(12)02405-6.
     
  22. Selwyn Firth

    Selwyn Firth Member

    From this it becomes obvious that ischemia is the critical factor. vascular interventions are costly and are not always helpful since healing depends on many factors. Pneumatic circulation boosters have been shown to be helpful http://1.usa.gov/QX4At9 .Pneumatic compression requires being tethered to a compressor for several hours daily. Since the portable battery powered venowave is easier to use similar and possibly better results will occur. Preliminary small scale study had 8/8 patients healing in less than 30 days. Larger scale studies are being planned. Since it has been FDA, Health Canada and CE approved for circulation issues there are few reasons not to use it. If patients can't afford it the company will provide free units if the attending physician is willing to take pictures and record the outcomes. You can look up the product on line and find all the information required there.
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Surgical revascularization techniques for diabetic foot
    Siva Krishna Kota, Sunil Kumar Kota, Lalit Kumar Meher, Satyajit Sahoo, Sudeep Mohapatra, Kirtikumar Dharmsibhai Modi
    Journal of Cardiovascular Disease and Research; Article in Press
     
  24. Selwyn Firth

    Selwyn Firth Member

    While a multidisciplinary team may be more effective, it will only be as good as the technology employed by its members. If one wants to do more with less invasive techniques using a mechanical circulation booster, such as our Venowave will make things heal faster. Clinicians should be advising their patients about FDA approved circulation boosters which have been cliniclly proven to increase circulation. Many if not all amputations would be prevented by using such a simple yet effective device.
     
  25. NewsBot

    NewsBot The Admin that posts the news.

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    The interventional therapy for diabetic peripheral artery disease.
    Sun NF, Tian AL, Tian YL, Hu SY, Xu L.
    BMC Surg. 2013 Aug 20;13(1):32.
     
  26. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Systematic Review of Screening Investigations for Peripheral Arterial Disease in Patients with Diabetes Mellitus.
    Ozdemir BA, Brownrigg JR, Jones KG, Thompson MM, Hinchliffe RJ.
    Surg Technol Int. 2013 Aug 23;XXIII. pii: sti23/23.
     
  27. NewsBot

    NewsBot The Admin that posts the news.

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    Lower extremity arterial reconstruction for critical limb ischemia in diabetes
    Enzo Ballotta, et al
    Journal of Vascular Surgery; Available online 28 December 2013
     
  28. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Diagnosis of peripheral vascular disease for diabetic foot risk assessment
    H.F. Jelinek, L. Thompson, P. Tinley
    Wound Medicine; Available online 18 February 2014
     
  29. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Sulodexide as Adjunctive Therapy in Diabetic Foot Patients With Critical Limb Ischemia Treated With Percutaneous Transluminal Angioplasty
    Alberto Piaggesi, Lorenza Abbruzzese, Chiara Mattaliano, Irene Bargellini, Antonello Cicorelli, Elisabetta Iacopi, Alessandro Lunardi, Alberto Coppelli, Chiara Goretti, Roberto Cioni
    International Journal of Lower Extremity Wounds May 25, 2014
     
  30. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Comparison of Noninvasive Vascular Assessment Methods Detecting Ischaemia in Patients with Diabetic Foot Ulcer
    JARMILA JIRKOVSKA, JOHANA VENEROVA, SVATOPLUK SOLAR, LENKA VEDRALOVA, MIROSLAV ZAVORAL
    Presented at the 74th American Diabetes Association Mtg; San Francisco; June 14-17 2014
     
  31. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Early Revascularization after Admittance to a Diabetic Foot Center Affects the Healing Probability of Ischemic Foot Ulcer in Patients with Diabetes
    T. Elgzyri, J. Larsson, P. Nyberg, J. Thörne, K.-F. Eriksson J. Apelqvist
    European Journal of Vascular & Endovascular Surgery; published online 07 August 2014.
     
  32. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Peripheral Vascular Disease in Patients with Diabetic Foot Ulcers - An Emerging Trend: A Prospective Study from North India.
    Bajaj S et al
    J Assoc Physicians India. 2017 May;65(5):14-17.
     
  33. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Comparison of perfusion values after percutaneous transluminal angioplasty according to the severity of ischaemia in the diabetic foot
    Sik Namgoong Jong‐Phil Yang Ki‐Hyun Yoo Seung‐Kyu Han Seung‐Woon Rha Ye‐Na Lee
    5th Congress of World Union of Wound Healing Societies in Florence, Italy (September 25‐29, 2016).
     
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