Clinical efficacy of endovascular revascularization combined with vacuum-assisted closure for the treatment of diabetic foot

Figure 3 Surgery pictures of a diabetic foot complicated with uremia. A: Lower limb computerized tomography angiography of a diabetic foot complicated with uremia showed proximal occlusion of the peroneal artery, the only outflow tract below the knee, obvious arterial calcification; B-D: Angiography showed that the proximal peroneal artery was occluded, and the guidewire could not pass through the lesion due to severe calcification; E-G: Retrograde puncture of the distal peroneal artery was performed, and balloon angioplasty (BA) was carried out after the orbit was established by connecting the guidewire with the proximal catheter; H and I: The blood flow was obviously improved after BA with non-flow-limiting dissection locally visible, and no stent was implanted; J: Gangrene at the ends of the 2^nd, 3^rd and 4^th toes of the left foot; K: Cyanosis at the 1^st and 5^th toes; L and M: Four weeks later, the necrotic part of the toe fell off spontaneously and the wound healed spontaneously.