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Wounds and wound infections. The prof. B.M. Kostyuchenok journal

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Multidisciplinary approach in the treatment of a patient with neuroischemic form of diabetic foot syndrome and multifocal atherosclerosis (case report)

https://doi.org/10.25199/2408-9613-2024-11-4-36-41

Abstract

Diabetic foot syndrome with critical lower limb ischemia is a serious complication of diabetes mellitus and remains the leading cause of non-traumatic amputations. This article presents a clinical case of successful treatment of a patient with neuroischemic diabetic foot syndrome and multifocal atherosclerosis as an example of collaboration between a specialist in wound treatment and physicians at a vascular center.

It has been shown that only a multidisciplinary approach in the treatment of this pathology ensures the preservation of a supportive foot and reduces the risk of death from cardiac causes. Rehabilitation and follow-up of patients in the postoperative period in the diabetic foot's office helps to quickly heal wounds and reduce the risk of disease recurrence.

About the Authors

D. S. Chiglashvili
Tula City Hospital No. 3
Russian Federation

Dato S. Chiglashvili – MD, PhD, Associate Professor of the Department of Surgical Diseases at Tula State University, surgeon at the State Healthcare Institution "City Hospital No. 3 of Tula.

97A Timiryazev Str., Tula, 300012



An. V. Eroshenko
Joint-Stock Company "Klinika K+31"
Russian Federation

Andrey V. Eroshenko – MD, PhD, Associate Professor of the Department of Cardiovascular Surgery, Faculty of Continuing Professional Education, N.I. Pirogov Russian National Research Medical University, Head of the Peripheral Interventions Department at JSC K+31 Clinic, specialist in X-ray endovascular diagnostics and treatment.

42/4 Lobachevsky Str., Moscow, 119415



E. A. Zubova
Joint-Stock Company "Medicine"
Russian Federation

Ekaterina A. Zubova – MD, PhD, Associate Professor of the Department of Therapy, Cardiology, and Functional Diagnostics with a Course in Nephrology at the Federal State Budgetary Educational Institution of Higher Professional Education, Central State Medical Academy, Administrative Department of the President of the Russian Federation; Cardiologist at the JSC Meditsina Clinic.

10 2nd Tverskoy-Yamskoy Lane, Moscow, 125047



References

1. Galstyan GR, Vikulova OK, Isakov MA, et al. Trends in the epidemiology of diabetic foot and lower limb amputations in Russian Federation according to the FederalDiabetes Register (2013–2016). Diabetes Mellitus. 2018;21(3): 170–177. (In Russ.) doi: https://doi.org/10.14341/DM9688

2. Udovichenko OV, Berseneva EA. Effectiveness of outpatient treatment of diabetic foot syndrome in everyday practice of the “Diabetic Foot” office: a cohort study. Diabetes mellitus. 2014;3:107–112. (In Russ.)

3. Aiello FA, Khan AA, Meltzer AJ, et al. Statin therapy is associated with superior clinical outcomes after endovascular treatment of critical limb ischemia. J Vasc Surg. 2012;55(2):371–379. doi: https://doi.org/10.1016/j.jvs.2011.08.044

4. Soga Y, Iida O, Takahaera M, ett al. Two-year life expectancy in patients with critical limb ischemia. JACC: Cardiovasc Interv. 2014;7(12):1444–1449. doi: https://doi.org/10.1016/j.jcin.2014.06.018

5. Diabetes mellitus. Acute and chronic complications. Edited by I.I. Dedov, M.V. Shestakova. Moscow: Medical Information Agency, 2011. 477 p. (In Russ.) ISBN: 978-5-9986-0067-8

6. Barshes NR, Sigireddi M, Wrobel JS, et al. The system of care for the diabetic foot: objectives, outcomes, and opportunities. Diabet Foot Ankle. 2013;4: 10.3402/dfa.v4i0.21847. doi: https://doi.org/10.3402/dfa.v4i0.21847


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For citations:


Chiglashvili D.S., Eroshenko A.V., Zubova E.A. Multidisciplinary approach in the treatment of a patient with neuroischemic form of diabetic foot syndrome and multifocal atherosclerosis (case report). Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2024;11(4):36-41. (In Russ.) https://doi.org/10.25199/2408-9613-2024-11-4-36-41

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ISSN 2408-9613 (Print)
ISSN 2500-0594 (Online)
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