An integrated approach in the treatment of comorbid patients with diabetic foot and distal atherosclerotic lesion of the arteries of the lower extremities

Diseases of the arteries of the lower extremities are extremely widespread in patients with diabetes mellitus. Patients with multilevel atherosclerotic lesion of the arteries of the lower extremities on the background of diabetes mellitus have a high risk of critical ischemia, and in accordance with this, the number of amputations and the number of deaths increases. Our clinical case describes the importance of timely revascularization of the arteries of the lower extremities in patients with diabetes mellitus. The possibility of simultaneous surgery in such patients, including endovascular recanalization with balloon angioplasty and distal amputation, which allows to preserve the supporting function of the lower limb. Our article presents a clinical case of successful repeated retrograde endovascular treatment followed by amputation of the middle and distal phalanx of the little digit of the right lower limb in a patient with a lesion of the arteries of the tibia on the background of diabetes mellitus.