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SM ISO690:2012 BARAT, Sorin. Rolul revascularizării hibrid a membrelor inferioare la pacienții cu picior diabetic forma neuroischemică. Caz clinic. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 387. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 387-387 | ||||||
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Rezumat | ||||||
Background. The leading cause of lower extremity major amputations is the peripheral arterial disease in association with diabetes mellitus. Lower extremity septic complications in these patients still presents a great challenge. Major studies have shown that in 50%-90% of cases limbs can be successfully saved. Objective of the study. Presentation of a clinical case of a patient with neuro-ischemic form of diabetic foot and critical limb ischemia, complicated with wet gangrene of the forefoot, and major anesthesiological risk, treated using the hybrid approach. Material and Methods. Patient I., female /59y.o., presented with painful necrotized dehiscent stump of fingers III-IV on admission. Topical diagnosis: Right femoral artery occlusion grade IV Fontaine. Wet gangrene of fingers III, IV. DM type II. The patient underwent a hybrid intervention – balloon angioplasty of the superficial femoral artery and popliteal-ultradistal by-pass. Results. The limp was saved, with a primary patency of the hybrid reconstruction documented by computer tomography angiography at 3 mounths followup. Conclusion. Hybrid revascularization of lower limbs in cases of multilevel arterial lesions, critical limb ischemia and diabetes mellitus, is the method of choice in patients with high anesthesiological risk. |
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Cuvinte-cheie Hybrid, atherosclerosis, diabetes, critical ischemia, hibrid, ateroscleroză, diabet, ischemie critică |
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