![Page 1: Management of diabetic foot with toe gangrene and severe · Management of diabetic foot with toe gangrene and severe arterial disease Ahmed Kayssi, MD MSc MPH FRCSC CWSP Vascular](https://reader030.vdocument.in/reader030/viewer/2022040611/5ed47a4f9b99f41bde54f524/html5/thumbnails/1.jpg)
Management of diabetic foot with toe gangrene and severe
arterial disease
Ahmed Kayssi, MD MSc MPH FRCSC CWSP
Vascular Surgeon and Wound Care Physician
Assistant Professor, Department of Surgery, University of Toronto, Canada
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Disclosure
Speaker name:
...................Ahmed Kayssi.......................................................
I have the following potential conflicts of interest to report:
Consulting
Employment in industry
Stockholder of a healthcare company
Owner of a healthcare company
Other(s)
I do not have any potential conflict of interest
![Page 3: Management of diabetic foot with toe gangrene and severe · Management of diabetic foot with toe gangrene and severe arterial disease Ahmed Kayssi, MD MSc MPH FRCSC CWSP Vascular](https://reader030.vdocument.in/reader030/viewer/2022040611/5ed47a4f9b99f41bde54f524/html5/thumbnails/3.jpg)
Case
• 65 male diabetic, smoker, hypertensive, hyperlipidemia, atrial fibrillation, peripheral neuropathy.
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Case
• Duplex ultrasound revealed evidence of proximal AT occlusion and tight TP trunk stenosis.
• Patient taken to the cath lab, challenging lesions…
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Case
![Page 6: Management of diabetic foot with toe gangrene and severe · Management of diabetic foot with toe gangrene and severe arterial disease Ahmed Kayssi, MD MSc MPH FRCSC CWSP Vascular](https://reader030.vdocument.in/reader030/viewer/2022040611/5ed47a4f9b99f41bde54f524/html5/thumbnails/6.jpg)
What about the toes?
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Two weeks later…
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Back to the OR…
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Post-op week 1 (Last week…)
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Take Home Message 1
Clinical outcomes more important than anatomical outcomes
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Take Home Message 2
Ensure adequate wound moisture balance
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Take Home Message 2
Ensure adequate wound moisture balance
- AMD: Polyhexamethylene Biguanide
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Take Home Message 3
Pay attention to the surrounding skin
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Take Home Message 3
Pay attention to the surrounding skin
- Vaseline
- Uremol (Urea 20%)
- Betaderm (Betamethasone Valerate)
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Take Home Message 4
Wound healing is impaired if the leg is edematous
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Take Home Message 4
Wound healing is impaired if the leg is edematous
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Take Home Message 5
• Get involved in wound care!
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Management of diabetic foot with toe gangrene and severe
arterial disease
Ahmed Kayssi, MD MSc MPH FRCSC CWSP
Vascular Surgeon and Wound Care Physician
Assistant Professor, Department of Surgery, University of Toronto, Canada