"Holub, Radim" . . . . . . "1211-9326" . . "14330" . "Diabetic foot from the view of a vascular surgeon - case report"@en . "Diabetick\u00E1 noha z pohledu c\u00E9vn\u00EDho chirurga - kazuistika"@cs . "[C272E8B96538]" . "Diabetick\u00E1 noha z pohledu c\u00E9vn\u00EDho chirurga - kazuistika" . "Diabetologie, metabolismus, endokrinologie, v\u00FD\u017Eiva (DMEV)" . "reconstruction crural; distal; pedal; diabetic foot; angiography"@en . "1" . "5" . . "CZ - \u010Cesk\u00E1 republika" . "3"^^ . "Problematika diabetick\u00E9 nohy je st\u00E1le aktu\u00E1ln\u00ED a jej\u00ED \u0159e\u0161en\u00ED z\u016Fst\u00E1v\u00E1 v\u00EDceoborovou z\u00E1le\u017Eitost\u00ED.Auto\u0159i p\u0159edkl\u00E1daj\u00ED p\u0159\u00EDpad pacienta s progreduj\u00EDc\u00ED vlhkou gangr\u00E9nou prav\u00E9 nohy indikovan\u00E9ho na z\u00E1klad\u011B nep\u0159\u00EDzniv\u00E9ho angiografick\u00E9ho n\u00E1lezu a po vy\u010Derp\u00E1n\u00ED mo\u017Enost\u00ED konzervativn\u00ED terapie k amputaci kon\u010Detiny. S p\u0159ihl\u00E9dnut\u00EDm ke skute\u010Dnosti, \u017Ee pacient je ji\u017E po amputaci druhostrann\u00E9 kon\u010Detiny v b\u00E9rci, rozhodnuto je\u0161t\u011B o revizi art. tibialis posterior (ATP). Peropera\u010Dn\u00ED angiografie nepotvrzuje p\u016Fvodn\u00ED nep\u0159\u00EDzniv\u00FD angiografick\u00FD n\u00E1lez. Po implantaci dist\u00E1ln\u00EDho krur\u00E1ln\u00EDho \u017Eiln\u00EDho bypasu (ATP supramalleol\u00E1rn\u011B) doch\u00E1z\u00ED b\u011Bhem relativn\u011B kr\u00E1tk\u00E9 doby ke zhojen\u00ED kon\u010Detiny. Auto\u0159i se p\u0159ipojuj\u00ED k n\u00E1zoru, \u017Ee dist\u00E1ln\u00ED krur\u00E1ln\u00ED a ped\u00E1ln\u00ED bypassy nelze v\u017Edy indikovat na z\u00E1klad\u011B b\u011B\u017En\u011B prov\u00E1d\u011Bn\u00E9 angiografie. Revize b\u00E9rcov\u00FDch tepen a eventueln\u00ED peropera\u010Dn\u00ED angiografie mohou zvr\u00E1tit do t\u00E9 doby ne\u0159e\u0161itelnou situaci a v\u00E9st tak k z\u00E1chran\u011B kon\u010Detiny. Z\u00E1kladn\u00ED podm\u00EDnkou ale z\u016Fst\u00E1v\u00E1 \u00FAzk\u00E1 spolupr\u00E1ce mezi diabetologem, angiologem a angiochiru" . "Diabetick\u00E1 noha z pohledu c\u00E9vn\u00EDho chirurga - kazuistika"@cs . . . "4"^^ . "2"^^ . . . "Problematika diabetick\u00E9 nohy je st\u00E1le aktu\u00E1ln\u00ED a jej\u00ED \u0159e\u0161en\u00ED z\u016Fst\u00E1v\u00E1 v\u00EDceoborovou z\u00E1le\u017Eitost\u00ED.Auto\u0159i p\u0159edkl\u00E1daj\u00ED p\u0159\u00EDpad pacienta s progreduj\u00EDc\u00ED vlhkou gangr\u00E9nou prav\u00E9 nohy indikovan\u00E9ho na z\u00E1klad\u011B nep\u0159\u00EDzniv\u00E9ho angiografick\u00E9ho n\u00E1lezu a po vy\u010Derp\u00E1n\u00ED mo\u017Enost\u00ED konzervativn\u00ED terapie k amputaci kon\u010Detiny. S p\u0159ihl\u00E9dnut\u00EDm ke skute\u010Dnosti, \u017Ee pacient je ji\u017E po amputaci druhostrann\u00E9 kon\u010Detiny v b\u00E9rci, rozhodnuto je\u0161t\u011B o revizi art. tibialis posterior (ATP). Peropera\u010Dn\u00ED angiografie nepotvrzuje p\u016Fvodn\u00ED nep\u0159\u00EDzniv\u00FD angiografick\u00FD n\u00E1lez. Po implantaci dist\u00E1ln\u00EDho krur\u00E1ln\u00EDho \u017Eiln\u00EDho bypasu (ATP supramalleol\u00E1rn\u011B) doch\u00E1z\u00ED b\u011Bhem relativn\u011B kr\u00E1tk\u00E9 doby ke zhojen\u00ED kon\u010Detiny. Auto\u0159i se p\u0159ipojuj\u00ED k n\u00E1zoru, \u017Ee dist\u00E1ln\u00ED krur\u00E1ln\u00ED a ped\u00E1ln\u00ED bypassy nelze v\u017Edy indikovat na z\u00E1klad\u011B b\u011B\u017En\u011B prov\u00E1d\u011Bn\u00E9 angiografie. Revize b\u00E9rcov\u00FDch tepen a eventueln\u00ED peropera\u010Dn\u00ED angiografie mohou zvr\u00E1tit do t\u00E9 doby ne\u0159e\u0161itelnou situaci a v\u00E9st tak k z\u00E1chran\u011B kon\u010Detiny. Z\u00E1kladn\u00ED podm\u00EDnkou ale z\u016Fst\u00E1v\u00E1 \u00FAzk\u00E1 spolupr\u00E1ce mezi diabetologem, angiologem a angiochiru"@cs . "RIV/00216224:14330/02:00007716!RIV08-MSM-14330___" . "Diabetic foot is still a problem that requires multiprofessional cooperation. The authors present a case of a patient with a progredient moist gangrene of the right foot. In this patient, amputation of the lower limb was indicated because of an unfavourable angiographic finding, after unsuccessful conservative treatment. With regard to the fact, that the patient had undergone amputation of the other lower limb in the crus, revision of the posterior tibial artery was decided. Peroperative angiography did not confirm the previous unfavourable angiographic finding. After the implantation of a distal crural venous bypass (posterior tibial artery supramalleolar part), healing of the extremity occurred in a relatively short time period. The authors agree with the opinion that distal crural and pedal bypasses cannot be always indicated on the basis of routinely performed angiography. Revision of crural arteries and possible peroperative angiography can change the situation and lead to the salvage of the limb"@en . . "P\u0159\u00EDvara, Mojm\u00EDr" . . . "RIV/00216224:14330/02:00007716" . "Z(MSM 141100003)" . "642942" . "Diabetic foot from the view of a vascular surgeon - case report"@en . . "Diabetick\u00E1 noha z pohledu c\u00E9vn\u00EDho chirurga - kazuistika" . "Staffa, Robert" . "19-22" . . . .