diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM2015357-69diaendo-6859Research ArticleСиндром диабетической стопыDiabetic footОсобенности клинического течения критической ишемии нижних конечностей и роль эндоваскулярной реваскуляризации у больных сахарным диабетомThe clinical course of critical limb ischaemia and the role of endovascular revascularisation in patients with diabetesБондаренкоОльга НиколаевнаBondarenkoOlga Nikolaevna

кандидат медицинских наук, старший научный сотрудник отделения диабетической стопы

MD, PhD, Cheif Researcher at Diabetic foot dapertment, Diabetes institute

olga-foot@bk.ruГалстянГагик РадиковичGalstyanGagik Radikovich

доктор медицинских наук, профессор, заведующий отделением диабетической стопы

MD, PhD, Head of the Diabetic foot department, Diabetes institute

mariagrishina2006@yandex.ruhttps://orcid.org/0000-0002-8175-7886ДедовИван ИвановичDedovIvan Ivanovich

академик РАН, директор ФГБУ «Эндокринологический научный центр» Минздрава России

MD, PhD, Professor, academician of Russian academy of Sciences, Director of Endocrinology Research Centre

dedov@endocrincentr.ruФГБУ "Эндокринологический научный центр" Минздрава РоссииРоссияEndocrinology Research CentreRussian Federation2015120520151835769Copyright © Бондаренко О.Н., Галстян Г.Р., Дедов И.И., 20152015Бондаренко О.Н., Галстян Г.Р., Дедов И.И.Bondarenko O.N., Galstyan G.R., Dedov I.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/6859

Критическая ишемия нижних конечностей (КИНК) до сих пор является основной причиной ампутаций у больных сахарным диабетом (СД). Большая распространенность КИНК среди пациентов с СД ассоциирована с клиническими и морфологическими особенностями заболевания периферических артерий. Чрескожная транслюминальная баллонная ангиопластика (ЧТБА) является основным методом лечения КИНК. Тем не менее, возможность восстановления артериального кровотока не всегда оценивается адекватно и своевременно, приводя к потере конечности. Низкая первичная проходимость, несмотря на оптимальные клинические исходы, является отличительной особенностью эндоваскулярной ЧТБА, особенно у пациентов с СД. Таким образом, определение показаний к восстановлению кровотока, оценка технического успеха и клинических исходов эндоваскулярных вмешательств у пациентов с СД во многих случаях может представлять трудную задачу и требовать междисциплинарного подхода.

Recent data suggest that chronic critical limb ischaemia (CLI) is the most important reason for amputation among diabetic patients. The high prevalence of CLI in this patient group is associated with specific clinical and morphological properties of peripheral arterial disease. Percutaneous transluminal angioplasty is an appropriate primary therapy, but it is not considered early in the disease process, and is instead reserved as a limb salvage strategy. Low primary patency, despite optimal clinical effects, remains a typical issue of percutaneous transluminal angioplasty for diabetic patients in particular. Thus, the indications, technical success and clinical results of endovascular revascularisation need to be clarified in patients with diabetes. Although difficult, the procedure can be effective through a multidisciplinary approach.

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The authors declare that there are no conflicts of interest present.