Peripheral Interventions in Non Healing Diabetic Foot Ulcer
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Peripheral Interventions in Non Healing Diabetic Foot Ulcer
Understanding the Problem
Diabetic Foot Ulcers
Chronic wounds typically found on the feet of individuals with diabetes, often due to neuropathy, poor circulation, or foot deformities.
Non-Healing Factors: May include infection, poor blood flow, or ongoing pressure on the ulcer.
Peripheral Artery Disease (PAD)
A condition characterized by narrowed arteries reducing blood flow to the limbs, which can contribute to non-healing foot ulcers.
Symptoms: Pain, cramping, or weakness in the legs, and cold or discolored feet.
Peripheral Interventions
Revascularization Procedures
1. Angioplasty and Stenting
Purpose: To improve blood flow to the affected area by treating blockages or narrowing in the peripheral arteries.
Angioplasty: A balloon catheter is inserted into the blocked artery and inflated to widen it.
Stenting: A stent may be placed to keep the artery open after ballooning.
Indication: Suitable for patients with significant PAD affecting blood flow to the foot.
2. Endarterectomy
Purpose: Surgical removal of plaque from the artery to restore blood flow.
Surgery: Involves making an incision in the artery and removing the plaque.
Indication: Used when angioplasty or stenting is not feasible or additional intervention is needed.
3. Bypass Surgery
Purpose: To create a new path for blood flow around a blocked artery.
Surgical Bypass: A graft is used to bypass the blocked segment of the artery.
Indication: For severe cases of PAD where other interventions have not been successful.
Peripheral interventions for non-healing diabetic foot ulcers involve a combination of revascularization procedures to restore blood flow, advanced wound care techniques to manage and treat the ulcer, and overall systemic management to improve outcomes. These approaches aim to enhance healing, prevent complications, and improve the quality of life for patients with diabetic foot ulcers.