1例糖尿病足伴严重血管疾病的老年无选择患者行下肢动脉化：临床病例报告。

IF 3.8 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Internal and Emergency Medicine Pub Date : 2025-08-29 DOI:10.1007/s11739-025-04106-y

Adriano Massacesi, Gioia Palmonella, Cristina Gatti, Michela Fichetti, Enrico Paci

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引用次数: 0

摘要

本临床病例报告描述了一位80岁无选择的糖尿病患者，慢性肢体缺血和严重血管疾病。患者表现为湿性坏疽，接受了不成功的血运重建尝试，随后轻微截肢，伤口愈合不良。由于持续缺血和手术破裂，患者接受了经导管深静脉动脉化手术，从而改善了灌注，伤口愈合和肢体保留。该病例强调了静脉动脉化作为精心挑选的老年患者保肢选择的潜力，强调了多学科和个性化方法的重要性。

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A case of diabetic foot with severe vascular disease in an elderly no-option patient undergoing lower limb arterialization: a clinical case report.

This clinical case report describes an 80-year-old no-option diabetic patient with chronic limb-threatening ischemia and severe vascular disease. The patient presented with wet gangrene and underwent an unsuccessful revascularization attempt, followed by minor amputation complicated by poor wound healing. Due to persistent ischemia and surgical dehiscence, the patient underwent a transcatheter deep venous arterialization procedure, resulting in improved perfusion, wound healing, and limb salvage. This case highlights the potential of venous arterialization as a limb-saving option in carefully selected elderly patients, emphasizing the importance of a multidisciplinary and individualized approach.

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来源期刊

Internal and Emergency Medicine 医学-医学：内科

CiteScore

7.20

自引率

4.30%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Internal and Emergency Medicine (IEM) is an independent, international, English-language, peer-reviewed journal designed for internists and emergency physicians. IEM publishes a variety of manuscript types including Original investigations, Review articles, Letters to the Editor, Editorials and Commentaries. Occasionally IEM accepts unsolicited Reviews, Commentaries or Editorials. The journal is divided into three sections, i.e., Internal Medicine, Emergency Medicine and Clinical Evidence and Health Technology Assessment, with three separate editorial boards. In the Internal Medicine section, invited Case records and Physical examinations, devoted to underlining the role of a clinical approach in selected clinical cases, are also published. The Emergency Medicine section will include a Morbidity and Mortality Report and an Airway Forum concerning the management of difficult airway problems. As far as Critical Care is becoming an integral part of Emergency Medicine, a new sub-section will report the literature that concerns the interface not only for the care of the critical patient in the Emergency Department, but also in the Intensive Care Unit. Finally, in the Clinical Evidence and Health Technology Assessment section brief discussions of topics of evidence-based medicine (Cochrane’s corner) and Research updates are published. IEM encourages letters of rebuttal and criticism of published articles. Topics of interest include all subjects that relate to the science and practice of Internal and Emergency Medicine.