Chronic Critical Ischemia
Conditions
Brief summary
Evaluation of a new biological criterion, the local capillary blood lactates to optimize the management of patients with chronic critical ischemia requiring revascularization fast. Potential use in terms of capillary blood lactate as a diagnostic indicator of recurrent ischemia in a limb revascularized.
Interventions
measuring blood lactate
Sponsors
Study design
Eligibility
Inclusion criteria
* Ischemia Chronic critical lower limb revascularization procedure requiring fast. * Written consent informed patient age greater than or equal to 18
Exclusion criteria
* Presence of an inflammatory or infectious (erysipelas) in the ischemic member. * Patients at risk for diabetic foot ie, as defined by the HAS (preventing diabetic foot, 2007) * presence of sensory neuropathy, and / or * foot deformities (hallux valgus, hammer toes or claw, prominence of the metatarsal heads), and / or * history of foot ulceration, and / or * antecedent of one of these factors (ie antécedant diabetic foot). * Necrosis of the toes. * Participation in another clinical research protocol. * Presence of peripheral arterial disease in the bilateral upper limbs. * Patient in shock whatever the cause. * Presence of hepatic failure. * Too impaired general condition (bedridden, dementia, ...) * Refusal of the patient to participate in the study * Protected patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Report Capillary blood lactate To Finger Capillary blood lactate (LCO / LCD) | 48 hours | Report Capillary blood lactate To Finger Capillary blood lactate (LCO / LCD) before revascularization of the lower limb in chronic critical limb ischemia (considered positive if\> 2). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The decrease in the ratio LCO/LCD | 48 hours | The decrease in the ratio LCO / LCD in the immediate aftermath of revascularization |
Countries
France