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Cardiovasc Interv Ther ; 33(4): 297-312, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-29654408

RESUMEN

The burden of peripheral artery disease (PAD) and diabetes in Asia is projected to increase. Asia also has the highest incidence and prevalence of end-stage renal disease (ESRD) in the world. Therefore, most Asian patients with PAD might have diabetic PAD or ESRD-related PAD. Given these pandemic conditions, critical limb ischemia (CLI) with diabetes or ESRD, the most advanced and challenging subset of PAD, is an emerging public health issue in Asian countries. Given that diabetic and ESRD-related CLI have complex pathophysiology that involve arterial insufficiency, bacterial infection, neuropathy, and foot deformity, a coordinated approach that involves endovascular therapy and wound care is vital. Recently, there is increasing interaction among cardiologists, vascular surgeons, radiologists, orthopedic surgeons, and plastic surgeons beyond specialty and country boundaries in Asia. This article is intended to share practical Asian multidisciplinary consensus statement on the collaboration between endovascular therapy and wound care for CLI.


Asunto(s)
Pie Diabético/terapia , Procedimientos Endovasculares/métodos , Isquemia/terapia , Enfermedad Arterial Periférica/terapia , Amputación Quirúrgica/métodos , Asia , Consenso , Pie Diabético/complicaciones , Diagnóstico Diferencial , Humanos , Colaboración Intersectorial , Isquemia/complicaciones , Fallo Renal Crónico/complicaciones , Extremidad Inferior/irrigación sanguínea , Extremidad Inferior/cirugía , Enfermedad Arterial Periférica/complicaciones , Enfermedad Arterial Periférica/diagnóstico , Factores de Riesgo , Resultado del Tratamiento , Técnicas de Cierre de Heridas
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