Endovascular Management in Patient with Ischemic Diabetic Foot Ulcer and Digital Ischemia in General Surgery Department Misurata Medical Center

Mahmud Sunusi Amer; Taher Alkisa; Wael Fathi Emmaima; Hassan Omar Badi; Osama Aldergash; Wesam Elsaghayer

المؤلفون

Mahmud Sunusi Amer Consultants in general and vascular surgery Misurata Medical Center
Taher Alkisa Consultants in general and vascular surgery Misurata Medical Center
Wael Fathi Emmaima Consultants in general and vascular surgery Misurata Medical Center
Hassan Omar Badi Consultants in general and vascular surgery Misurata Medical Center
Osama Aldergash Consultants in general and vascular surgery Misurata Medical Center
Wesam Elsaghayer Consultants in general and vascular surgery Misurata Medical Center

الكلمات المفتاحية:

Diabetic foot ulcer، Peripheral artery disease، ritical limb-threatening ischemia، Endovascular revascularization، Percutaneous transluminal angioplasty

الملخص

Background: Peripheral arterial occlusive disease (PAOD) is a major cause of hospitalization, lower-limb amputation, and mortality worldwide. Patients with diabetes mellitus and peripheral artery disease (PAD) have significantly higher mortality rates than non-diabetic patients, with reported 5-year mortality exceeding 30%.

Objectives: To evaluate the outcomes of endovascular interventions in diabetic foot patients with femoropopliteal, infrapopliteal, and multilevel arterial occlusive disease.

Patients and Methods: A retrospective study was conducted on 20 patients treated at Misrata Medical Center between January and December 2025. All patients had diabetic foot ulcers and/or digital ischemia associated with femoropopliteal, infrapopliteal, or multilevel arterial occlusions. Procedures were performed in the General Surgery and Vascular Surgery Departments.

Results: The study included 17 males (85%) and 3 females (15%), with a mean age of 62.5 years. Limb salvage, defined as freedom from major amputation, was achieved in 90% of patients at 3 months. Clinical success, defined as relief of rest pain, ulcer healing improvement, and limb preservation according to Rutherford categories, was also achieved in 90% of cases. Two patients (10%) developed complications: one underwent thromboembolectomy for arterial thrombosis but ultimately required above-knee amputation, while the other underwent femoro-distal bypass surgery.

Conclusions: Percutaneous Transluminal Angioplasty (PTA) was successfully performed in 18 patients (90%), resulting in effective limb salvage and significant clinical improvement. Endovascular intervention appears to be a safe and effective limb-preserving treatment for diabetic patients with lower-limb arterial occlusive disease.

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