文档介绍:Case Report
IPC 对于糖尿病足(病例报告)
Diabetic limb salvage using the Arterial Assist Device... ArtAssist®
Paul S. van Bemmelen, MD. PhD, Port Jefferson, NY and
Gerald J. Furst, DPM, Port Jefferson, NY
• 66 Year Old Male • Amputation Great • pression
• 35 Year Hx of Toe/Metatarsal I to Foot, Ankle and Calf
diabetes • Platelet Released Up to 100 mmHg
• Renal Failure Growth Factors • Home use for 30 min.
• Contralateral Tibial • IV and Oral QID
Bypass Antibiotics • Improved Circulation
• Poor Ambulation • Topical Antibiotics • Prepared Foot For
• Small Vessel Disease • Surgical Revision Surgery
Debridements
Figure 1 Pulse Figure 2
Volume
Recordings
A 66 year old man with a 35 year history of diabetes (NIDDM) and chronic
renal failure (peritoneal dialysis) presented with dry necrosis of his right great
toe. He ambulated very little outside of his home and he had previously
undergone a tibial bypass of the opposite leg. He was being treated with platelet
released growth factors for poor healing of his left distal ankle incision. Ankle
blood pressure was not obtainable due to pressibility, but waveforms
were consistent with disease of the small vessels distal to the knee. The
metatarsal pulse volume recording is shown (Fig. 1) and is essentially flat.
Toe-pressure was in the ischemic range.
The patient underwent repea