Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Usefulness of Infrapopliteal Percutaneous Transluminal Angioplasty in the Treatment of Diabetic Gangrene

당뇨병성 족부 괴저의 치료에서 무릎 밑 경피적 경혈관 혈관성형술의 유용성

  • Choi, Jae-Yeol (Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Hun-Kyu (Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Eu-Gene (Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Jong-Min (Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Yong-Taek (Department of Physical Medicine & Rehabilitation, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Seung-Kwon (Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Jong-Min (Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 최재열 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 신헌규 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 김유진 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 김종민 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 이용택 (성균관대학교 의과대학 강북삼성병원 재활의학과교실) ;
  • 김승권 (성균관대학교 의과대학 강북삼성병원 방사선학과교실) ;
  • 김종민 (성균관대학교 의과대학 강북삼성병원 정형외과학교실)
  • Published : 2007.12.01
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Abstract

Purpose: To evaluate the effectiveness of percutaneous transluminal angioplasty (PTA) below the knee as a treatment in diabetic foot gangrene. Materials and Methods: Between May 2003 and May 2006, angiography was performed in 35 diabetic foot gangrene classified as either Wagner grade IV or V. Infrapopliteal PTA was performed in 10 patients among them. Clinical success was defined as prevention of major amputation. Results: Among 25 patients who did not receive infrapopliteal PTA, the major amputation rate is 22% (in one arterial occlusion cases), 50% (in two arterial occlusion cases), 63% (in three arterial occlusion cases), respectively. Infrapopliteal PTA was successfully performed in 8 among 10 patients. Two patients were failed and undergone below-knee amputation. Toe amputation were performed in 2 patients with one arterial occlusion. Out of 6 patients with three arterial occlusions, toe amputations were performed in 4 patients and the other 2 patients were healed through debridement. Conclusion: As a first choice revascularization procedure for limb salvage in diabetic foot gangrene, infrapopliteal PTA can be one of treatment options.

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