Diabetes & Peripheral Arterial Disease:

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Cilostazol (Pletaal)ACC/AHA 2005 guidelines
Prevention of Amputation in DMRegular foot screeningEarly detection of footlesionEarly vascular evaluationSpreading foot infectionin DM with PAD ismedical emergency– Do not delay forconservative treatment– Early intervention isoften the onlyopportunity to savethe limb & life
Page 1 and 2: Diabetes &Peripheral Arterial Disea
Page 3: Atherosclerosis is aSystemic Diseas
Page 6 and 7: PAD : Survival Curve1.000.75NormalS
Page 8 and 9: Impact on Quality of Life↓ Walkin
Page 10 and 11: Common Risk Factors for PAD*◄Less
Page 12 and 13: Prevalence of PAD in DMPAD is 20x m
Page 14 and 15: Tragic “Rule of 15”15% DM15% fo
Page 16 and 17: Problem with PAD isUnderdiagnosed &
Page 18 and 19: Clinical Presentations of PADClassi
Page 20 and 21: Critical Limb Ischaemia (CLI)Chroni
Page 22 and 23: Relying on classic history ofclaudi
Page 24 and 25: • Colour• Deformities• Ulcer
Page 26 and 27: Are you at risk for Peripheral Arte
Page 28 and 29: Ankle Brachial Index (ABI)ABI =Lowe
Page 30 and 31: Interpretation of the ABIInterpreta
Page 33 and 34: Who should be screened with ABI?1.
Page 35 and 36: MRA & CTAPlanning forrevascularizat
Page 37 and 38: PAD Treatment GoalsImproveFunctiona
Page 39 and 40: Conservative TreatmentA- anti-plate
Page 41: Cilostazol (Pletaal)Antiplateletact
Page 45 and 46: 60M, smoker, DM, lipid, CAD, CVA,bi
Page 47 and 48: Surgical Morbidity & MortalityWound
Page 49 and 50: Advantages of EndovascularTreatment
Page 51 and 52: Limb Salvage for CLIAvoid / Limit a
Page 53 and 54: Changing pattern ofrevascularizatio
Page 55: 74M, DM, Smoker, 1mth infected foot
Page 61 and 62: Ray amputation same admissionMeticu
Page 63 and 64: NO!
Page 65 and 66: SFA Compressive Forces: StentFractu
Page 67: “Fracture Resistant” SE Stents1
Page 70 and 71: Which Patients to Refer?Difficult D
Page 72 and 73: Key RoleTake Home Massage:Role of G
Page 74: Save a Leg . . . Save a LifeThank Y

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