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Critical limb ischemia in association with Charcot neuroarthropathy: complex endovascular therapy for limb salvage.
Cardiovasc Intervent Radiol. 2014 Feb; 37(1):257-61.CI

Abstract

Charcot neuroarthropathy is a low-incidence complication of diabetic foot and is associated with ankle and hind foot deformity. Patients who have not developed deep ulcers are managed with offloading and supportive bracing or orthopedic arthrodesis. In patients who have developed ulcers and severe ankle instability and deformity, below-the-knee amputation is often indicated, especially when deformity and cutaneous involvement result in osteomyelitis. Ischemic association has not been described but can be present as a part of peripheral arterial disease in the diabetic population. In this extreme and advanced stage of combined neuroischemic diabetic foot disease, revascularization strategies can support surgical and orthopedic therapy, thus preventing osteomyelitis and leading to limb and foot salvage.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Palena LM
Interventional Radiology Unit, Policlinico Abano Terme, Piazza C. Colombo 1, 35031, Abano Terme, PD, Italy, marianopalena@hotmail.com.
Brocco E
No affiliation info available
Manzi M
No affiliation info available

MeSH

Aged, 80 and overAngiographyAngioplasty, BalloonArthropathy, NeurogenicDebridementDiabetic FootEndovascular ProceduresFootHumansIschemiaLegLimb SalvageMalePlatelet Aggregation InhibitorsUltrasonography, Interventional

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23657782

Citation

Palena, Luis Mariano, et al. "Critical Limb Ischemia in Association With Charcot Neuroarthropathy: Complex Endovascular Therapy for Limb Salvage." Cardiovascular and Interventional Radiology, vol. 37, no. 1, 2014, pp. 257-61.
Palena LM, Brocco E, Manzi M. Critical limb ischemia in association with Charcot neuroarthropathy: complex endovascular therapy for limb salvage. Cardiovasc Intervent Radiol. 2014;37(1):257-61.
Palena, L. M., Brocco, E., & Manzi, M. (2014). Critical limb ischemia in association with Charcot neuroarthropathy: complex endovascular therapy for limb salvage. Cardiovascular and Interventional Radiology, 37(1), 257-61. https://doi.org/10.1007/s00270-013-0642-y
Palena LM, Brocco E, Manzi M. Critical Limb Ischemia in Association With Charcot Neuroarthropathy: Complex Endovascular Therapy for Limb Salvage. Cardiovasc Intervent Radiol. 2014;37(1):257-61. PubMed PMID: 23657782.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Critical limb ischemia in association with Charcot neuroarthropathy: complex endovascular therapy for limb salvage. AU - Palena,Luis Mariano, AU - Brocco,Enrico, AU - Manzi,Marco, Y1 - 2013/05/09/ PY - 2013/03/10/received PY - 2013/04/03/accepted PY - 2013/5/10/entrez PY - 2013/5/10/pubmed PY - 2015/1/13/medline SP - 257 EP - 61 JF - Cardiovascular and interventional radiology JO - Cardiovasc Intervent Radiol VL - 37 IS - 1 N2 - Charcot neuroarthropathy is a low-incidence complication of diabetic foot and is associated with ankle and hind foot deformity. Patients who have not developed deep ulcers are managed with offloading and supportive bracing or orthopedic arthrodesis. In patients who have developed ulcers and severe ankle instability and deformity, below-the-knee amputation is often indicated, especially when deformity and cutaneous involvement result in osteomyelitis. Ischemic association has not been described but can be present as a part of peripheral arterial disease in the diabetic population. In this extreme and advanced stage of combined neuroischemic diabetic foot disease, revascularization strategies can support surgical and orthopedic therapy, thus preventing osteomyelitis and leading to limb and foot salvage. SN - 1432-086X UR - https://www.unboundmedicine.com/medline/citation/23657782/Critical_limb_ischemia_in_association_with_Charcot_neuroarthropathy:_complex_endovascular_therapy_for_limb_salvage_ DB - PRIME DP - Unbound Medicine ER -