Chronic Limb Threatening Ischemia
Conditions
Brief summary
Observe Timing to complete healing of wounds & Limb salvage in both cohorts those who are undergoing Debridement only and those who are undergoing Debridement plus PTA
Detailed description
Secondary Aims of the study include Length of hospital stay , Necessity of further intervention(Whether a Revascularization Procedure or More Debridement sessions) , Incidence of MACE (Major Adverse Cardiovascular Events) in both groups
Interventions
SURGICAL DEBRIDEMNT
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients will be included in this study are those suffering from DFUs; and Borderline Ischemia (BLI) / Borderline Vacularity with (Rutherford Grade I Categories 2&3) when they have a borderline ankle systolic pressure
Exclusion criteria
* All patients with (CLI) and DFUs as they are indicated for urgent re-vascularization. Severely infected/ gangrenous wounds requiring amputation hindering possible limb salvage. Lesions lying within or adjacent to an aneurysm; Non diabetic cases with foot ulcers; Arteritic lesions;(Vasculitic Patients). Patients had prior major amputation, bypass surgery, and endarterectomy on any vessel of the ipsilateral (target) extremity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Outcomes Following Surgical Debridement of Diabetic Foot Infection With Borderline Vascularity | 1 YEAR | 1. Observe the timing to complete wound healing in both cohorts those with Debridement only & those with Debridment plus PTA 2. Observe the Rate of limb salvage in both groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Outcomes Following Surgical Debridement of Diabetic Foot Infection With Borderline Vascularity | 1 YEAR | 1-Observe incidence of MACE In both cohorts Observe necessity for further interventions in both cohorts 3-Observe the length of hospital stay in both groups |
Countries
Egypt