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  • Ohranitev uda in preživetje pri bolnikih s sladkorno boleznijo in ishemijo spodnjih okončin = Limb salvage and survival in diabetic patients with lower limb ischemia
    Salapura, Vladka, 1969- ...
    We have retrospectively analysed the results of treatment of lower limb ischemia in 63 diabetic patients (27 females and 36 males, average age 73.5 years) who were identified in a group of 138 ... randomly selected patients among those who had undergone lower limb arteriography during hospitalisation at theDepartment of Vascular Medicine at the Department of Radiology of the Clinical Centre of Ljubljana in the year 1998. The reason for lower limb arteriography was claudication in 18 patients (29%), chronic critical ischemiain 42 patients (66%), and acute ischemia in patients 3 (5%). After thearteriography, a revascularization procedure was performed in 32 patients (51%), among whom the 3 patients with acute ischemia had successful embolectomy, 24 patients were treated endovascularly and 5 patients surgically. Thirty patients (47%) were treated conservatively and one patient with primary amputation. The patient's status was reassessed after an average of 24 months, ranging from 19 to 33 months. Among the 18 patients with claudication 2 patients died, one because of stroke and another because of worsening chronic obstructive pulmonary disease with respiratory failure, but all patients retained their limb during the survival or follow up time. Among the 42 patients with chronic critical ischemia, 33 (79%) salvaged the limb during the survival or follow up time,15 after revascularization and 18 with conservative treatment. Nine patients (21%) had an amputation, 4 below and 5 above the knee. One amputation was primary, 2 amputations followed endovascular treatment, and 6 were performed after conservative treatment. During the follow up period 13 patients (31%) with chronic critical ischemia died, 5 because of stroke, 3 because of acute myocardial infarction and 5 of an unknown cause. (Abstract truncated at 2000 characters)
    Vir: Medicinski razgledi. Supplement. - ISSN 0353-3484 (Letn. 40, supl. 3, apr. 2001, str. 169-173)
    Vrsta gradiva - članek, sestavni del
    Leto - 2001
    Jezik - slovenski
    COBISS.SI-ID - 14048729

vir: Medicinski razgledi. Supplement. - ISSN 0353-3484 (Letn. 40, supl. 3, apr. 2001, str. 169-173)

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