Tag: CLTI

Modified Tibial Cortex Transverse Transport (TTT): Yet more reported data for limb preservation? #ActAgainstAmputation #DiabeticFoot

Diabetic foot ulcers (DFUs) are a significant global health concern, affecting a substantial number of individuals with diabetes. These ulcers often present challenges in achieving healing, leading to prolonged non-healing and, in some cases, necessitating amputation. However, a recent study by Liu et al. (2024) offers a promising new approach to managing DFUs[1]. The Study... Continue Reading →

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Life of Flow Podcast: Soleful care to #ActAgainstAmputation #Toeandflow #Diabetes #DiabeticFoot #ALPSlimb

https://podcasters.spotify.com/pod/show/lifeofflow/embed/episodes/Multidisciplinary-Soleful-Care-A-conversation-with-David-Armstrong-e2dmsa8/a-aaph11b Hosted by Lucas Ferrer Cardona and Miguel Montero Baker, in this episode of the "Life of Flow," Dr. Lucas Ferrer and Dr. Miguel Montero Baker delve into the realm of limb preservation, focusing on diabetic foot care. Joined by guest Dr. David G Armstrong, a podiatric surgery professor, the conversation explores amputation prevention, limb... Continue Reading →

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Early Hemodynamic Improvement after Tibial Transport in the Diabetic Foot

The study by Liao et al. (2023) suggests significant differences in early hemodynamics after tibial transverse transport in patients with diabetic foot, focusing on those with nonarterial stenosis versus arterial stenosis. High-frequency color Doppler ultrasonography and laser Doppler flowmetry were used to assess changes. The study contributes to our understanding of diabetic foot treatment by... Continue Reading →

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Can Maximal Systolic Acceleration be Useful in Screening for PAD and CLTI: Study #ActAgainstAmputation

Introduction Peripheral arterial disease (PAD) is a critical health concern affecting millions of people worldwide. Prompt and accurate diagnosis is essential to manage this disease effectively and to improve patient outcomes. While traditional diagnostic methods like computed tomography angiography (CTA) offer some insights, they often come with a higher cost, invasiveness, or exposure to radiation.... Continue Reading →

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Exploring New Frontiers: A Look at PBMCs in Treating Critical Limb Threatening Ischemia (CLTI) in People with Diabetes #ActAgainstAmputation

Exploring New Frontiers: A Look at PBMCs in Treating Critical Limb Threatening Ischemia (CLTI) in People with Diabetes In the realm of medical advancements, continuous research paves the way for better understanding and treatment of complex health conditions. A recent manuscript by Marco Meloni, Luigi Uccioli, and colleagues sheds light on a novel approach towards... Continue Reading →

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Tibial Transverse Transport (TTT), Angiogenesis, and Limb Preservation: More support as an adjunct to care? #ActAgainstAmputation #DiabeticFoot #CLTI

A recent study published in ScienceDirect has explored the role of tibial transport in limb preservation and wound healing for patients with diabetes and peripheral artery disease8. Tibial transport is a surgical technique that can improve blood circulation and promote healing in diabetic foot ulcers. In this blog post, we will discuss the findings of this... Continue Reading →

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Medial Arterial Calcification Score is Associated with Increased Risk of Major Limb Amputation #DiabeticFoot #ActAgainstAmputation #Diabetes #PAD #CLTI

Congratulations to our combined UNC and USC team led by Kate McGinigle and Alex DiBartolomeo. This provides further data supporting the use of medial arterial calcification (MAC) score as a useful surrogate for risk. Alexander D DiBartolomeo 1, Sydney E Browder 2, Sebouh Bazikian 1, Diwash Thapa 2, Sooyeon Kim 2, Avital Yohann 2, David... Continue Reading →

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Combined evaluation of blood flow and tissue perfusion in diabetic feet by intra-arterial dynamic 4DCT imaging #ActAgainstAmputation #DiabeticFoot #Radiology

Fascinating continued work from our Belgian colleagues. Critical limb ischemia is associated with high mortality and major amputations. Intra-arterial digital subtraction angiography (IADSA) has been the reference standard but has some shortcomings including the two-dimensional projection and the lack of tissue perfusion information. The aim of this exploratory study is to examine four-dimensional computed tomography... Continue Reading →

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Apples and oranges? A comparison of BEST-CLI to BASIL-2 #JVascSurg #UCSFVascular

Insightful, data-rich commentary as expected from our flowmigos Conte and O'Banion The Battle of the Limb Preservation Trials: BEST-CLI vs. BASIL-2 Two major randomized clinical trials comparing endovascular and open surgical approaches for patients with chronic limb-threatening ischemia (CLTI) - BEST-CLI and BASIL-2 - reported seemingly contradictory results recently. In the larger BEST-CLI trial, patients... Continue Reading →

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Intersocietal PAD guidelines on the Diabetic Foot #ActAgainstAmputation #IWGDF

Here is the link to the guidelines for peripheral artery disease in people with diabetes. Diabetes-related foot complications have become a major cause of morbidity and are implicated in most major and minor amputations globally. Approximately 50% of people with diabetes and a foot ulcer have peripheral artery disease (PAD) and the presence of PAD... Continue Reading →

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