Contemporary management of acute lower extremity ischemia following percutaneous coronary and cardiac interventional procedures using femoral access—A case series and discussion

2007 ◽  
Vol 70 (1) ◽  
pp. 129-137 ◽  
Author(s):  
Andrew J. Klein ◽  
John C. Messenger ◽  
Ivan P. Casserly
Keyword(s):  
Lower Extremity ◽  
Interventional Procedures ◽  
Case Series ◽  
Femoral Access ◽  
Percutaneous Coronary ◽  
Lower Extremity Ischemia ◽  
Contemporary Management ◽  
Extremity Ischemia

Treatment of Diabetic Foot Gangrene Using the STAGE Principle: A Case Series

2019 ◽  
Vol 18 (2) ◽  
pp. 200-207 ◽  
Author(s):  
Chaojun Zhu ◽  
Ping Yue ◽  
Jiakang Lü ◽  
Xianzhou Liu ◽  
Lei Huo ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Blood Supply ◽  
Diabetic Foot ◽  
Ankle Brachial Index ◽  
Case Series ◽  
Interventional Therapy ◽  
Wound Treatment ◽  
Lower Extremity Ischemia ◽  
Extremity Ischemia

Diabetic foot gangrene with lower extremity ischemia can preclude amputation. However, wound treatment principles based on the Wagner classification system are lacking. We proposed the STAGE principle for the surgical management of diabetic foot wounds. The STAGE principle guides surgical intervention during the wound treatment of diabetic foot ulcers and emphasizes that “based on anatomical layers, the management focuses on blood supply and includes layer-by-layer incision to the infected area, maintenance of effective wound drainage, and step-by-step treatment of the wound.” We applied the STAGE principle for the treatment of 7 patients with an ankle brachial index <0.5 and Wagner grade 4 diabetic foot gangrene. The average ankle brachial index was 0.42 (0.32-0.48; SD = 0.06), and male patients smoked an average of 1.28 packs/day (0.4-2; SD = 0.63). The average wound duration was 45.86 days (14-63 days; SD = 18.46). The average wound healing time was 8.86 months (5-13 months; SD = 2.36). The follow-up time was 37.71 months (3-84 months; SD = 25.04; median = 36 months). Patient 1 received endovascular interventional therapy twice for the lower extremity artery, and the wound healed. After 3 months of follow-up, the patient exhibited recurrence. After the third application of endovascular interventional therapy for the lower extremity artery, the blood supply was improved, and the wound healed after 1 month. In summary, the treatment of 7 cases of diabetic foot gangrene with severe lower extremity ischemia using the STAGE principle resulted in remarkable efficacy.

scholarly journals Rehabilitative of COVID-19 patients with acute lower extremity Ischemia and amputation

2020 ◽  
pp. 0
Author(s):  
L Brugliera ◽  
A Spina ◽  
P Castellazzi ◽  
P Cimino ◽  
P Arcuri ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Lower Extremity Ischemia ◽  
Extremity Ischemia

scholarly journals A National and Single Institutional Experience in the Contemporary Treatment of Acute Lower Extremity Ischemia

2003 ◽  
Vol 238 (3) ◽  
pp. 382-390 ◽  
Author(s):  
Jonathan L. Eliason ◽  
Reid M. Wainess ◽  
Mary C. Proctor ◽  
Justin B. Dimick ◽  
John A. Cowan ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Institutional Experience ◽  
Lower Extremity Ischemia ◽  
Extremity Ischemia

Limb-Threatening Lower Extremity Ischemia Successfully Treated with Intra-Arterial Infusion

Angiology ◽  
1999 ◽  
Vol 50 (3) ◽  
pp. 233-237 ◽  
Author(s):  
Martin J. D'Amore ◽  
Marc A. Borge ◽  
Richard N. Messersmith ◽  
Marc A. Borge
Keyword(s):  
Lower Extremity ◽  
Arterial Infusion ◽  
Lower Extremity Ischemia ◽  
Extremity Ischemia

scholarly journals Comparative effectiveness of endovascular versus surgical revascularization for acute lower extremity ischemia

2015 ◽  
Vol 61 (1) ◽  
pp. 147-154 ◽  
Author(s):  
Ashraf G. Taha ◽  
Raphael M. Byrne ◽  
Efthymios D. Avgerinos ◽  
Luke K. Marone ◽  
Michel S. Makaroun ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Comparative Effectiveness ◽  
Surgical Revascularization ◽  
Lower Extremity Ischemia ◽  
Extremity Ischemia
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