Current endovascular management of the ischaemic diabetic foot

Hippokratia 2008, 12(2):67-73

T. Gerassimidis, CD. Karkos, D. Karamanos, A. Kamparoudis


Abstract

Ischaemic diabetic foot ulcers pose a significant problem which is associated with a high likelihood of amputation. With the advent of endovascular surgery, the management of lower limb arterial lesions in the diabetic population has become more appealing. Coronary 0.014 monorail guide wires, appropriate sized angioplasty balloons and stents, and subintimal recanalisation, are all useful adjuncts and techniques to achieve revascularization. This article reviews the modern endovascular management of the diabetic foot.