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Can Endovascular Atherectomy Be Beneficial In Diabetic Limb Salvage?

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Can Endovascular Atherectomy Be Beneficial In Diabetic Limb Salvage?

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The non-traumatic lower extremity amputation rate among people with diabetes mellitus has increased 38 percent from 1992 to 2002.1 The number of amputations has increased from 99,552 in 2000 to 110,000 in 2002.2 To appreciate this statistic, this is more than double the number of amputations on U.S. soldiers from the Civil War through Vietnam.3 Peripheral arterial disease (PAD) is largely undiagnosed. Of the estimated 12 million Americans with PAD, 2.5 million are diagnosed and only 4 percent are treated interventionally.4 One to two million people are suffering from critical limb ischemia, which carries a 25 percent one-year mortality rate and 60 percent three-year mortality rate.5 Patients with intermittent claudication show mortality rates from all causes of 30 percent and 50 percent at five and 10 years respectively.6 Due to the high mortality rates, amputation and bypass should be the last resort in the diabetic population as opposed to the first line of defense against peripheral

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