Catheterization treatment to prevent diabetic foot amputation

Tomorrow– Dr. Mohammed Ali Matar, consultant in vascular surgery in Cairo, said that diabetes affected all organs of the body, noting that the impact on the feet in particular was one of the most serious complications because it could cause an amputation of the foot. Highlighting the use of therapeutic catheters to prevent foot amputation.

Speaking to Deutsche Presse-Agentur dpa, Matar said that diabetes affects the peripheral nerves, causing inflammation, which reduces pain and causes foot infection without complications.

Diabetes also affects the arteries of the limbs, causing peripheral bleeding, the main cause of non-healing wounds and ulcers, and the arrival of blood to the foot is weak and insufficient because of the weakness or obstruction of the arteries supplying foot.

In addition, this disease can cause small arthritic joints of the feet and toes, resulting in deformities of these, as well as skin lesions such as dry skin and "alkalo", as well as infections. fungal, nail calcification and fungal infections of the nails. Diabetes also causes a decrease in body immunity and resistance to inflammation, including diabetes mellitus.

The consultant informed the treatment of the diabetic foot that following nerve damage, the patient lost the sensation of the limbs, particularly the lower limbs, which is the alarm bell indicating the presence of any harmful element to the skin , such as sore, pressure, burns and dryness.

In the absence of this warning, the patient does not feel his foot, which makes him appear bruises and ulcers without feeling it after the appearance of complications. The patient is numb and tingling, resulting in an absence of atrophy of the nerves by muscle atrophy Calcium in the bones becomes weak, deformed and subject to any fracture without even touching the patient.

Symptoms of atherosclerosis
With the onset of symptoms of atherosclerosis, which is the contraction of the muscles of the soles of the feet "integrity" and the loss of the ability to walk for a long time and the l & # 39; emergence of intense pain during sleep. In advanced cases, ulcers and foot cracks appear without scarring of the wound, and cold feet or a pale or blue color on the weak circulation.

As a result of less foot blood, they receive less oxygen and nutrients needed to heal wounds and fight off infections.

When the nerves and arteries are damaged, the diabetic may not notice simple wounds, which quickly develop a serious infection threatening the health of the foot and lower limb. If it is not treated, it can also threaten the whole body.

Therapeutic catheter
A colleague of the Royal College of Surgeons of Ireland remarked that the use of therapeutic catheters to prevent amputation of the foot was greatly expanded, a device such as the needle entering the artery under the influence of a local anesthetic.

He explained that the balloon dilates the peripheral arteries with the installation of a metal abutment in order to keep the arteries open in order to allow the blood to pass through the limbs, resulting in complete blood flow to the foot and give the patient the pulse so that he leaves the hospital the same day.

Balloon technology has witnessed recent developments, including small and large diameter balloons, allowing the expansion of subcutaneous arteries, as well as self-opening brackets, which are easily used in arteries. narrow angle.

This type of treatment is the latest in modern atherosclerosis and diabetic foot disease: it opens the door to the hope of saving millions of diabetics from amputations because it allows the expansion of peripheral arteries by catheterization.