Open AccessComparison of perfusion values after percutaneous transluminal angioplasty according to the severity of ischaemia in the diabetic foot
Author(s) -
Namgoong Sik,
Yang JongPhil,
Yoo KiHyun,
Han SeungKyu,
Rha SeungWoon,
Lee YeNa
Publication year - 2019
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13008
Subject(s) - medicine , perfusion , percutaneous , diabetic foot , cardiology , ischemia , arterial perfusion , angioplasty , diabetes mellitus , surgery , endocrinology
Percutaneous transluminal angioplasty (PTA) is now more frequently used to improve tissue perfusion in ischemic diabetic feet. However, there are concerns about its feasibility and effectiveness in severely ischaemic feet. This study aimed to compare the perfusion values after PTA according to the ischaemic degree of diabetic feet. This study included 133 ischaemic diabetic feet. The foot transcutaneous oxygen pressure (TcPO 2 ) and toe pressure were measured before the procedure and every second postoperative week for 6 weeks. The patients were divided into three groups according to ischaemic severity on the basis of TcPO 2 and toe pressures. In the “severely ischaemic” group, the TcPO 2 increased from 7.5 ± 4.9 to 40.3 ± 11.3 mm Hg (5.4‐fold) 6 weeks after the PTA ( P < 0.001). The toe pressure increased from 8.5 ± 8.8 to 42.2 ± 19.3 mm Hg (5.0‐fold, P < 0.001). In the “mild” group, the TcPO 2 increased from 35.4 ± 2.5 to 41.8 ± 12.4 mm Hg (1.2‐fold, P = 0.003), and the toe pressure increased from 45.7 ± 12.3 to 54.3 ± 31.3 mm Hg (1.2‐fold, P > 0.05). Results of the “intermediate” group were in between. The most severely ischaemic group had the most dramatic increase of tissue perfusion after PTA. As such, PTA can be an effective method for increasing tissue perfusion even in the severely ischaemic diabetic feet.