Importance of Using Angiography for the Early Detection of Chronic Limb Ischemia in Diabetic Foot Wounds

Peripheral artery disease (PAD) affects millions of people worldwide, presenting with varying symptom severity, including chronic total occlusion of arteries, and occasionally, limb amputation. There are various interventions, such as atherectomy and the use of drug-coated balloons and stents, which...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-06, Vol.16 (6), p.e61906
Main Authors: Tran, Vivie, Galvan, Bernardo, Khemka, Sachi, Holder, Katherine, Ansari, Mohammad M
Format: Article
Language:English
Subjects:
Amputation
Angioplasty
Antibiotics
Cardiac/Thoracic/Vascular Surgery
Cardiology
Cardiovascular disease
Catheters
Comorbidity
Diabetes
Diabetic neuropathy
Foot diseases
Gangrene
Internal Medicine
Intervention
Ischemia
Leg ulcers
Medical diagnosis
Medical history
Medical imaging
Patients
Stents
Ultrasonic imaging
Vein & artery diseases
Wire
Wound healing
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Summary:Peripheral artery disease (PAD) affects millions of people worldwide, presenting with varying symptom severity, including chronic total occlusion of arteries, and occasionally, limb amputation. There are various interventions, such as atherectomy and the use of drug-coated balloons and stents, which have been developed to revascularize affected ischemic regions. However, each interventional approach must be individualized due to a patient's unique underlying conditions. Comorbid conditions, especially diabetes, play a significant role in PAD, as poorly controlled diabetes can accelerate PAD progression. For this reason, an early and accurate diagnosis of PAD is crucial, especially when symptoms may present dissimilar to classic PAD symptoms, often leading to misdiagnosis. The presented cases highlight the tailored interventions to revascularize arteries in patients with diabetic foot wounds utilizing catheters, stents, guidewires, and balloons, made possible after early angiogram. These interventions have been promising in treating PAD patients, and highlight the need for early diagnosis and timely and customized interventions to prevent limb amputation and mitigate potential complications.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.61906