Investigating the importance of endovascular management in diabetic foot ulcers - Dr. Shivraj Ingole

Mumbai. Diabetes mellitus is a global health concern, affecting millions of people worldwide. One of its most debilitating complications is the development of diabetic foot ulcers (DFU), which often lead to serious infections, lower extremity amputations, and increased mortality. Fortunately, advances in medical technology have introduced endovascular intervention as a promising approach in the management of DFU (diabetic foot ulcer). Dr Shivraj Ingole, professor and interventional radiologist at JJ Hospital and Grant Medical College, Mumbai, says this essay explores the importance of endovascular management in diabetic foot ulcers, highlighting its benefits, procedures and potential impact on patient outcomes. puts.
      
Understanding Diabetic Foot Ulcers

DFUs (Diabetic Foot Ulcers) are chronic wounds that primarily affect individuals with diabetes due to neuropathy, poor circulation, and immune dysfunction. These ulcers are often caused by minor trauma, pressure, or friction and can rapidly turn into serious complications if not treated promptly. Lack of sensation in the affected area makes early detection challenging, and delayed intervention can lead to infection, tissue necrosis, and even limb amputation.
      Regarding the role of endovascular management, Dr. Shivraj says that endovascular management is a minimally invasive approach that has gained prominence in the treatment of DFU. It involves the use of various techniques and devices to restore blood flow to the affected organ, addressing the underlying vascular issues that contribute to the development of ulcers. Key elements of endovascular management include angioplasty, stent placement, and atherectomy procedures.
      Angioplasty is a procedure in which a balloon is inflated within narrowed or blocked arteries, improving blood flow to the affected leg. This non-surgical technique is particularly effective in cases where atherosclerotic plaques obstruct blood vessels, causing ischemia.
      In some cases, angioplasty alone may not be enough to maintain adequate blood flow. Stenting involves inserting a small metal tube (stent) into an artery to keep it open. Stents help prevent the artery from narrowing again and ensure continued blood supply.
      Atherectomy is a procedure that involves removing plaque buildup from the artery walls. This technique can be especially beneficial when the blockage is heavily calcified, as it helps to restore blood flow and improve wound healing.
     Endovascular management can significantly improve the overall outcomes of patients, as it not only saves limbs but also reduces the risk of recurrent ulcers and associated complications.
     Diabetic foot ulcers represent a challenging and potentially life-threatening complication of diabetes. The advent of endovascular management techniques has revolutionized the approach to treatment of DFU. By addressing the underlying vascular issues that contribute to ulcer development, endovascular procedures provide a minimally invasive way to preserve organs, improve wound healing, and enhance patient outcomes. As the field of endovascular medicine advances, it holds great potential for reducing the devastating consequences of diabetic foot ulcers and improving the lives of individuals with diabetes.