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Observe Timing to complete healing of wounds & Limb salvage in both cohorts those who are undergoing Debridement only and those who are undergoing Debridement plus PTA
Secondary Aims of the study include Length of hospital stay , Necessity of further intervention(Whether a Revascularization Procedure or More Debridement sessions) , Incidence of MACE (Major Adverse Cardiovascular Events) in both groups
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ANGIOPLASTY GROUP | All patients undergoing PTA are going to be classified according to GLASS staging system |
| |
| DEBRIDEMENT GROUP | The most commonly used technique for diabetic foot ulcers is sharp or surgical debridement using a scalpel, tissue forceps or similar instruments. It should be sufficiently extensive to remove all infected and necrotic tissue; |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PER CUTANEOUS TRANSLUMINAL ANGIOPLASTY | Other | SURGICAL DEBRIDEMNT |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Outcomes Following Surgical Debridement of Diabetic Foot Infection With Borderline Vascularity |
| 1 YEAR |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Outcomes Following Surgical Debridement of Diabetic Foot Infection With Borderline Vascularity | 1-Observe incidence of MACE In both cohorts Observe necessity for further interventions in both cohorts 3-Observe the length of hospital stay in both groups | 1 YEAR |
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Inclusion Criteria:
Exclusion Criteria:
Severely infected/ gangrenous wounds requiring amputation hindering possible limb salvage.
Lesions lying within or adjacent to an aneurysm; Non diabetic cases with foot ulcers; Arteritic lesions;(Vasculitic Patients). Patients had prior major amputation, bypass surgery, and endarterectomy on any vessel of the ipsilateral (target) extremity
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On the other hand we can consider patients as Borderline ischemia/ Boarderline Vascularity with (Rutherford Grade "I" Categories "2&3) when they have a borderline ankle systolic pressure
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of vascular surgery - Assiut University Hospital | Asyut | Asyut Governorate | 71515 | Egypt |
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| ID | Term |
|---|---|
| D000089802 | Chronic Limb-Threatening Ischemia |
| ID | Term |
|---|---|
| D058729 | Peripheral Arterial Disease |
| D050197 | Atherosclerosis |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
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| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016491 | Peripheral Vascular Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007511 | Ischemia |