Endovascular maneuvers in treatment of lower extremity critical ischemia in patients with diabetes mellitus

Treatment efforts in 42 patients with neuroischemic diabetic foot syndrome complicated by toe and foot gangrene of various localizations were assessed. Transluminal balloon angioplasty is thought to be minimally invasive and efficient maneuver in treatment of critical ischemia of lower extremities, in some cases serving as an alternative of the surgical revascularization. Satisfactory outcome, that is, foot salvation within 12 months after transluminal balloon angioplasty and stenting of lower extremity arteries could be observed in 31 (73.8%) patients, two cases requiring reoperation.