Doppler Ultrasound Abnormalities of the Lower Limbs in Patients with Diabetic Foot at the Yopougon University Hospital in Ivory Coast

Kodjo, Kossi; Diallo, Mamadou Mansour; Diallo, Alpha Mamadou; Dago, Koffi Pierre; Hue, Adelaide; Yao, Assita; Jacko, Abodo; Lokrou, Adrien

doi:10.4236/ojemd.2022.125009

Cited by 1 publication

(3 citation statements)

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“…In this study, 88.2% of the patients had generalized arterial wall calcifications on sonography. This is in agreement with that of Bourron et al [ 26 ] In contrast, the arterial wall calcification seen in this study is much higher than the Indian series reported by Swain et al ,[ 27 ] showing the prevalence of 42%; as well as 43.8% from Ivory Coast as reported by Kodjo et al [ 25 ] In general, calcification of the arterial wall in the intima (a feature of atheroma) and in the media (mediacalcosis) contributes to an arterial occlusive process below the knee and is associated with amputation risks. [ 26 28 ] The prevalence of athermanous plaques in this study (74.5%) was much higher than what was reported by other studies (ranging 38%–45%).…”

Section: Discussionsupporting

confidence: 93%

“…[ 26 28 ] The prevalence of athermanous plaques in this study (74.5%) was much higher than what was reported by other studies (ranging 38%–45%). [ 22 24 , 25 ] This high burden of atheromatous plaque was found in a cohort with high prevalence of arterial luminal stenosis of 51%. These findings supported the critical contribution of peripheral artery disease (PAD) in the pathogenesis of DFS.…”

Section: Discussionmentioning

confidence: 97%

“…On the other hand, an Ivorian Doppler ultrasound study reported an unusual bilateral disease of up to 62%. [ 25 ]…”

Section: Discussionmentioning

confidence: 99%

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Doppler sonographic characteristics and clinical outcomes of diabetic foot syndrome: A 5-year audit from a tertiary hospital in northern Nigeria

Ismail,

Lawal,

Gezawa

et al. 2024

J West Afr Coll Surg

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Background: Diabetes foot syndrome is one of the common complications of diabetes. Detailed information on the clinical and vascular characteristics of patients with diabetic foot disease in relation to the outcome of the care provided to these patients will be useful to policymakers and clinicians in early detection and timely interventions for the prevention of disabling complications. Materials and Methods: This is a review of patients with diabetic foot managed in Aminu Kano Teaching Hospital over 5 years (January 2017–May 2022). The sociodemographic characteristics, Wagner classification of the foot, Doppler sonographic characteristics and clinical outcomes, etc., were reviewed. Results: A total of 51 patients were reviewed. Males and females accounted for 56.8% and 43.1%, respectively. Twenty-five patients had Wagner grade 4 ulcers, and fewer patients had Wagner grade 1 and 5-foot ulcers. The mean ± standard deviation Doppler arterial intimal media thickness was 1.53 ± 0.33 (range 0.90–2.40 mm). The majority of DFS patients had Doppler sonographic lesions on the right lower limb 28 (54.9%) only, and 11 (21.6%) of the lesions were bilateral. The posterior tibial artery 11 (21.6%) was the most involved arterial segment with plaques, followed by a combination of popliteal and tibial arterial 10 (19.6%) segments. At 6 months, 45.2% had limb amputation, 17.6% healed ulcers, 17.6% delayed wound healing, and 9.8% died. Conclusion: There is an unacceptably high prevalence of poor treatment outcomes, thus, contributing to a huge burden of care to patients living with diabetes. There is a strong association between severe arterial stenosis detected by Doppler ultrasound and higher rates of amputations.

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