In the Vascupedia 2020 online webinar, a talk was given and a discussion followed on the conversion of veins into arteries, in patients with diabetic foot and no revascularisation option (no option CLI).<\/p>\n
The technique is intended for patients with diabetic foot<\/a> for whom no other route is available to restore blood flow to the limb.<\/p>\n The term describes patients with critical limb ischaemia for whom there is no artery available for repair: all the options of angioplasty and bypass have been exhausted. Without another solution, the prospect is amputation.<\/p>\n The technique diverts arterial blood into the venous network of the limb, so that the veins take on the role of the arteries and supply the tissues. It is the last option before amputation and is applied in specialised centres.<\/p>\n Mainly in patients with diabetic foot<\/a> and extensive occlusions in the arteries below the knee, where conventional revascularisation is not feasible. See also peripheral arterial disease<\/a>.<\/p>\n Every 20 seconds a diabetic foot is amputated somewhere on the planet. Every technique that offers an alternative to patients with no other options has direct significance for saving the limb.<\/p>\n<\/div>\n It is the advanced stage of peripheral arterial disease, where the blood supply has become critically inadequate. It presents with pain in the leg at rest, particularly at night, with wounds that do not heal and with a cold, pale or blue toe.<\/p>\n From palpation of the pulses and the ankle-brachial index, to colour duplex ultrasound and CT angiography. The aim is to map which vessels remain patent. See the risk factors<\/a>.<\/p>\n<\/div>","protected":false},"featured_media":1783,"template":"","class_list":["post-1782","sunedria","type-sunedria","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/sunedria\/1782","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/sunedria"}],"about":[{"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/types\/sunedria"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/media\/1783"}],"wp:attachment":[{"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/media?parent=1782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\u03a4\u03b9 \u03c3\u03b7\u03bc\u03b1\u03af\u03bd\u03b5\u03b9 \u00abno option CLI\u00bb;<\/h2>\n
How does the conversion of veins into arteries work?<\/h2>\n
Who is it intended for?<\/h2>\n
Why does it matter?<\/h2>\n
What is critical ischaemia?<\/h2>\n
How is the assessment carried out?<\/h2>\n