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404916 occurrences (No.41 in the rank) during 5 years in the PubMed. [no cache] 500 found

231) In this study, we examined the clinical response of diabetic patients with critical limb ischaemia and extended ischaemic wounds, treated with a new angiosome-based revascularisation technique.

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PMID:24118695 DOI:10.1111/iwj.12162

2015 International wound journal

* Angiosome-targeted revascularisation in diabetic foot ulcers.

- Peripheral vascular disease is a common complication of type 2 diabetes and is often more severe and diffuse than in non-diabetic individuals with a higher risk of major amputations in the lower limbs. Diabetic foot revascularisation using both traditional bypass surgery and endovascular therapy are often burdened by the failure and the inevitable subsequent massive amputation. In this study, we examined the clinical response of diabetic patients with critical limb ischaemia and extended ischaemic wounds, treated with a new angiosome-based revascularisation technique. In a 3-year period, nine diabetic patients with imminent amputation threatening and foot ulcers with no feasible arterial revascularisation options were treated by the angiosome-based surgical technique by means of deep vein arterialisation. The postoperative tcPO2 evaluation showed a mean increase in the cutaneous oxygen tension in all patients treated. The overall survival rates were 88·88%, 88·88% and 77·77% at 12, 24 and 36 months, respectively. Limb salvage was 100% at 1 year and steady at 88·88% thereafter. Surgical deep venous arterialisation might be considered as an extreme alternative to attempt tissue preservation in limbs unfit for conventional arterial revascularisations. This technique would give advantages to the patients in terms of better compliance to the minor amputations and thus avoiding major limb amputations.

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(1)23 chronic	(21)3 AD	(41)2 CAD	(61)2 critical
(2)13 a	(22)3 AgP	(42)2 CKD	(62)2 diabetes,
(3)10 diabetes	(23)3 CTD	(43)2 CVD	(63)2 early
(4)9 acute	(24)3 an	(44)2 DIC	(64)2 equal
(5)8 severe	(25)3 cardiovascular	(45)2 LGV	(65)2 hard-to-heal
(6)6 cancer	(26)3 comorbid	(46)2 MFS	(66)2 higher
(7)6 congenital	(27)3 end-stage	(47)2 NE	(67)2 ischemic
(8)5 RA	(28)3 fibromyalgia	(48)2 NSTE-ACS	(68)2 lesions
(9)5 and	(29)3 heart	(49)2 SS	(69)2 limited
(10)5 hypertension	(30)3 known	(50)2 SSc	(70)2 moderate
(11)5 type	(31)3 nonvalvular	(51)2 ST-segment	(71)2 no
(12)4 STEMI	(32)3 osteoarthritis	(52)2 VLUs	(72)2 normal
(13)4 advanced	(33)3 ovarian	(53)2 VTE	(73)2 pressure
(14)4 breast	(34)3 poor	(54)2 angina	(74)2 prior
(15)4 dementia	(35)3 schizophrenia	(55)2 antiheparin/PF4	(75)2 refractory
(16)4 low	(36)3 sickle	(56)2 asthma	(76)2 sarcoidosis
(17)4 sepsis	(37)3 symptomatic	(57)2 atrial	(77)2 somatoform
(18)4 stable	(38)3 the	(58)2 central	(78)2 stroke
(19)4 this	(39)2 AHA	(59)2 clinical	(79)2 sudden
(20)4 venous	(40)2 BD	(60)2 coronary

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--- WordNet output for patients --- Overview of noun patient The noun patient has 2 senses (first 1 from tagged texts) 1. (73) patient -- (a person who requires medical care; "the number of emergency patients has grown rapidly") 2. affected role, patient role, patient -- (the semantic role of an entity that is not the agent but is directly involved in or affected by the happening denoted by the verb in the clause) --- WordNet end ---