E.A. GAYSINA¹, R.M. NURETDINOV¹, K.A. KOREYBA^2, 3, M.A. USMANOV², G.V. SKRYABIN⁴, A.V. MAKSIMOV^1, 4

 ¹Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, Kazan

²Clinic of the Medical University, Kazan

³Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan

⁴ Kazan State Medical Academy – Branch Campus of  RMACPE MH Russia, Kazan

Contact details:

Gaysina E.A. — PhD (medicine), Vascular Surgeon of the Department of Vascular Surgery № 1

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel. +7-905-039-51-74, e-mail: kalbas77@yandex.ru

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel.: +7-905-039-51-74, e-mail: kalbas77@yandex.ru

  Treatment of diabetic foot syndrome is a multidisciplinary problem. Formation of the routs and phases of referral of these patients to the vascular surgeon is currently not regulated.The possibilities of the vascular correction of the ischemic form of the diabetic foot and their long-term results are analyzed in his article. Clinical success in the early stages can be achieved in 58,7% of cases. The long-term results of limb revascularization in these patients are less optimistic. If for a period of 3 months it is possible to maintain a good result in 100% of patients, then by 6 months — in 60,5%, and in a period of 1 year — only in 1 patient (2,7%). 12,7% of patients die from various causes for a period from 3 to 12 months after revascularization, despite the reduction of critical ischemia.Role of the vascular surgeon in correction of diabetic foot syndrome is only in treatment of its ischemic form. The remaining states are the prerogative of related specialists of the multidisciplinary brigade.

Key words: diabetic foot syndrome, critical limb ischemia, revascularization.

(For citation: Gaysina E.A., Nuretdinov R.M., Koreyba K.A., Usmanov M.A., Skryabin G.V., Maksimov A.V. Role of vascular surgeon in providing multidisciplinary care to patients with diabetic foot syndrome. Practical Medicine. 2019. Vol. 17, № 6 (part 2), P. 50-52)

REFERENCES

1. Ignatovich I.N., Kondratenko G.G., Sergeev G.A., Kornievich S.N., Khrapov I.M. The results of treatment of patients with chronic critical ischemia in the neuroischemic form of diabetic foot syndrome. Khirurgiya. Zhurnal imeni N.I. Pirogova, 2011, no. 6, pp. 51–55 (in Russ.).
2. Flu H.C., Tamsma J.T., Lindeman J.H.N. et al. A Systematic Review of Implementation of Established Recommended Secondary Prevention Measures in Patients with PAOD. Eur J Vasc Endovasc Surg, 2010, vol. 39, pp. 70–86.
3. Dedov I.I., Shestakova M.V., Vikulova O.K. Epidemiology of diabetes mellitus in the Russian Federation: clinical and statistical analysis according to the Federal Register of Diabetes Mellitus. Sakharnyy diabet, 2017, no. 20 (1), pp. 13–41 (in Russ.).
4. Viswanathan V., Wadud J.R., Madhavan S. et al. Comparison of post amputation outcome in patients with type 2 diabetes from specialized foot care centres in three developing countries. Diabetes Research and Clinical Practice, 2010, vol. 88 (2), pp. 146–150.