J Korean Diabetes > Volume 20(1); 2019 > Article
The Journal of Korean Diabetes 2019;20(1):33-41.
DOI: https://doi.org/10.4093/jkd.2019.20.1.33    Published online April 4, 2019.
당뇨병 환자에서 말초혈관질환의 중재시술 및 수술적 치료
김상훈
Interventional and Surgical Treatment of Peripheral Artery Disease in Diabetic Patients.
Sang Hoon Kim
Division of Cardiology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea. kimsang978@naver.com
Abstract
After diagnosis of peripheral artery disease in diabetic patients, revascularization can be considered in those who are not improved after guideline-directed medical therapy. Recently, more aggressive approaches with interventional treatment have been recommended. Before revascularization therapy, it is important to differentiate patients with claudication or critical limb ischemia, and the final goal and treatment modality of interventional treatments should be based on clinical diagnosis. For patients with claudication, the goal of revascularization is improvement of functional capacity or quality of life; however, in more severe forms of critical limb ischemia, the purpose of revascularization is limb salvage and ultimately saving patient's life. With improvement of vascular interventions, interventional treatment for peripheral artery disease is preferred, although surgical treatment might show better results than intervention in some cases.
Key Words: Diabetes mellitus, Intervention, Peripheral arterial disease


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