6 voices in 10 minutes: Threatening chronic ischemia of the lower limb
DOI:
https://doi.org/10.47196/diab.v54i3Sup.450Keywords:
diabetic foot, treatmentAbstract
6 voices in 10 minutes: Diabetic foot
Threatening chronic ischemia of the lower limb
The definition of threatening lower limb ischemia according to D-Foot International and the Federation of Societies for Vascular Surgery is defined as:
• Pain at rest.
• Absent pulses.
• Injury of more than two weeks of evolution.
• Ankle arm index less than 0.4.
The International Diabetic Foot Group advises referring any patient with an ulcer and vascular disease that does not heal after 6 weeks of medical treatment to a vascular surgeon. This disease is synonymous with non-healing of wounds, predisposes to infections and amputations, presenting a high risk of cardiovascular morbidity and mortality.
References
- International Working Group of Diabetic Foot 2019, IWGDF.org
- Global vascular guidelines on the management of cronic limb threatening ischemia.
Journal Vascular Surgery 2019
- Guía ESC 2017 sobre el diagnóstico y tratamiento de la enfermedad arterial periférica.
European Society for Vascular Surgery. Rev. Esp Cardiol 2018.
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