A clinical case of successful multiple endovascular revascularization of a single lower limb arteries for a patient with diabetic foot syndrome

The diabetic foot syndrome combines pathological changes in the peripheral nervous system, arterial and microcirculatory channels, and the osteoarticular apparatus of the foot, which pose a direct threat to the development of ulcerative necrotic processes and foot gangrene. Endovascular interventions are the preferred surgery choice for the patients with the diabetic foot syndrome, due to their low invasiveness and the possibility of repeated implementation. Angioplasty performed in the timely manner allows maintaining the supporting function of the foot and avoiding disability. The article presents a clinical example of multiple repeated balloon angioplasty in a patient with critical ischemia of a single lower limb. The aim of the research was to evaluate the results of multiple endovascular treatments of a patient with diabetic foot syndrome. The perioperative period and the course of endovascular intervention were analyzed. The necessity of a team approach in the treatment of this category of patients is substantiated. The effectiveness of interventional procedures in severe damage to the arteries of the lower leg has been proven. It has been confirmed that revascularization operations allow avoiding severe disability for the patients with critical ischemia of the lower extremities. The advantages of endovascular operations compared with open interventions for the patients with diabetic foot syndrome and severe damage to the arteries of the leg are presented. Determining the sequence and timing of surgical treatment of the diabetic foot syndrome and revascularization of the limb, assessing the associated cardiovascular risks and complications of the disease, prescribing complex conservative therapy, individual unloading of the limb, are important components of the overall treatment strategy.