Critical Limb Ischemia in Association with Charcot Neuroarthropathy: Complex Endovascular Therapy for Limb Salvage

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• 作者：Luis Mariano Palena (1)
  Enrico Brocco (2)
  Marco Manzi (1)
  
• 关键词：Charcot foot ; Critical limb ischemia ; Endovascular therapy
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2014
• 出版时间：February 2014
• 年：2014
• 卷：37
• 期：1
• 页码：257-261
• 全文大小：451 KB
• 作者单位：Luis Mariano Palena (1)
  Enrico Brocco (2)
  Marco Manzi (1)
  
  1. Interventional Radiology Unit, Policlinico Abano Terme, Piazza C. Colombo 1, 35031, Abano Terme, PD, Italy
  2. Diabetic Foot Department, Foot and Ankle Clinic, Policlinico Abano Terme, Piazza C. Colombo 1, 35031, Abano Terme, PD, Italy
  
• ISSN：1432-086X

文摘

Charcot neuroarthropathy is a low-incidence complication of diabetic foot and is associated with ankle and hind foot deformity. Patients who have not developed deep ulcers are managed with offloading and supportive bracing or orthopedic arthrodesis. In patients who have developed ulcers and severe ankle instability and deformity, below-the-knee amputation is often indicated, especially when deformity and cutaneous involvement result in osteomyelitis. Ischemic association has not been described but can be present as a part of peripheral arterial disease in the diabetic population. In this extreme and advanced stage of combined neuroischemic diabetic foot disease, revascularization strategies can support surgical and orthopedic therapy, thus preventing osteomyelitis and leading to limb and foot salvage.