Ischemic Wound of the Lower Limb, Necrotic Arterial Wounds
Conditions
Keywords
Flammacerium, Ischemic wound, Lower limb, Arteriopathy, Amputation, Dressing
Brief summary
Ischemia of an area may lead to a necrotic wound. In lower limb, it especially happens in diabetic or artheriopatic patients. It can lead to an amputation need. Revascularization procedure cannot be provide in all cases. Flammacerium, by a crust training and its anti-inflammatory effect, could stabilize necrosis extension, avoid bacterial contamination and then improve some incapacitating symptoms like odor or pain. This product may allow to delay amputation ruling for patients on who this procedure is unsafe. During 6 months, the investigators evaluate Flammacerium against standard dressing procedure in necrotic wound of the lower limb in patients where no revascularization can be provide. The investigators observed its effect on amputation need, symptoms as pain, infection, wound aspect evolution, wound size decrease.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Ischemic wound of the lower limb * Minimum 50% necrosis * Arteriopathy with ABI\<0.7 or \>1.3 with radiographic examinations * No revascularisation procedure possible for any reasons * No urgent amputation need * Amputation considered in a short term * Non life-threatened patients
Exclusion criteria
* Sulphonamide hypersensibility * Propyleneglycols hypersensibility * Enzyme glucose deshydrogenase deficiencies * Others studies participation * Tutorship or curatoship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Amputation rate | 6 months | Level of amputation |
Secondary
| Measure | Time frame |
|---|---|
| Infection rate | 6 months |
| Wound size | 6 months |
| Pain during dressing (VAS) | 6 months |
Countries
France