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Revista Cubana de Angiología y Cirugía Vascular

versión On-line ISSN 1682-0037

Resumen

FIGUEROA MARTINEZ, Alain; FABELO MARTINEZ, Amirelia  y  SOSA VAZQUEZ, Onerys Ramón. Characterization of patients with revascularized ischemic diabetic foot. Rev Cubana Angiol Cir Vasc [online]. 2021, vol.22, n.1, e214.  Epub 30-Abr-2021. ISSN 1682-0037.

Introduction:

Diabetic foot is considered a global health problem, due to the high number of hospital admissions.

Objective:

Characterize patients with ischemic diabetic foot undergoing revascularization surgery at the National Institute of Angiology and Vascular Surgery.

Methods:

A descriptive and retrospective study was carried out in 24 patients who were admitted in the Diabetic Angiopathy Service of the National Institute of Angiology and Vascular Surgery with the diagnosis of ischemic diabetic foot, whom underwent any kind of revascularization surgery during the period from April 2018 to April 2019. The variables studied were: age, sex, atherosclerotic risk factors and associated diseases, topographic pattern, Fontaine classification, hemodynamic classification according to the American College of Cardiology Foundation (ACCF) and surgical techniques used. Absolute and relative frequencies for qualitative variables were calculated.

Results:

More than 95% of patients were over 50 years of age. There was a predominance of the male sex (79.2%). High blood pressure and smoking habit resulted in the most common risk factors with the same percentage (79.8%). The predominant occlusive pattern was the femoro-popliteal (75%) and the most commonly used surgical technique was the femoro-popliteal bypass with synthetic prosthetics in the first portion of the popliteal (54.1%). No amputation was needed after surgery in 83% of patients.

Conclusions:

Patients were characterized by being mostly older adults, smokers and hypertensive ones. Preferably conventional surgical techniques on endovascular proceedings were performed to these patients.

Palabras clave : Vascular complications; diabetic foot; vascular surgical procedures.

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