Ischemic Foot Ulcers Clinical Trial
Official title:
Peripheral Angioplasty as the First Choice Revascularization Procedure to Promote Ischemic Leg Ulcer Healing
The aim of our study was to evaluate the technical and clinical effectiveness of PTA in the management of ischemic foot ulcers. All consecutive patients presenting with a foot ulcer at the outpatient Vascular surgery clinic of our hospital were evaluated. If non-invasive parameters suggested peripheral arterial disease (PAD) anatomic imaging (CTA and/or DSA) was performed and a PTA was carried out when feasible during the same session. All patients were followed until healing, amputation, death, or for at least two years. Short-term and long-term clinical success of PTA was evaluated based on ulcer size and appearance. Patients with worsening ulcers after PTA underwent bypass grafting or amputation.
The aim of our study was to evaluate the technical and clinical effectiveness of PTA in the
management of ischemic foot ulcers.
Methods: All consecutive patients presenting with a foot ulcer at the outpatient Vascular
surgery clinic of our hospital were evaluated. Preoperative evaluation included foot pulse
assessment, ankle-brachial-index (ABI) and duplex scanning. If non-invasive parameters
suggested peripheral arterial disease (PAD) anatomic imaging (CTA and/or DSA) was performed
and a PTA was carried out when feasible during the same session. All patients were followed
until healing, amputation, death, or for at least two years. Short-term and long-term
clinical success of PTA was evaluated based on ulcer size and appearance. Patients with
worsening ulcers after PTA underwent bypass grafting or amputation.
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