<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2520-9825</journal-id>
<journal-title><![CDATA[Revista Científica de Salud UNITEPC]]></journal-title>
<abbrev-journal-title><![CDATA[Revista UNITEPC]]></abbrev-journal-title>
<issn>2520-9825</issn>
<publisher>
<publisher-name><![CDATA[Universidad Tecnica Privada Cosmos]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2520-98252025000200023</article-id>
<article-id pub-id-type="doi">10.36716/unitepc.v12i2.283</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Revascularización endovascular infrapoplítea para salvamento de pie diabético con isquemia crítica: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Endovascular Infrapopliteal Revascularization for Limb Salvage in Diabetic Foot with Critical Ischemia: Case Report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Revascularização endovascular infrapoplítea para salvamento do pé diabético com isquemia crítica: relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villa Huarachi]]></surname>
<given-names><![CDATA[Ronald Deymar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campero Urcullo]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Hospitalario Clínico Viedma  ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Univalle  ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>12</volume>
<numero>2</numero>
<fpage>23</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S2520-98252025000200023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S2520-98252025000200023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S2520-98252025000200023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  Las úlceras de pie diabético afectan alrededor del 6 % de los pacientes con diabetes mellitus y constituyen el antecedente del 80 % de las amputaciones no traumáticas. Cuando se complican con isquemia crítica, el riesgo de amputación mayor se incrementa significativamente. Presentación del caso: Varón de 66 años con diabetes mellitus tipo 2 de 17 años de evolución, hipertensión arterial sistémica, enfermedad renal crónica y antecedente de amputación infrapatelar derecha, quien ingresó con necrosis del hallux izquierdo. Los hallazgos clínicos y angiográficos confirmaron isquemia crítica del miembro inferior izquierdo. Metodología: Se realizó revascularización endovascular mediante angioplastía transluminal percutánea de las arterias tibial anterior y posterior con balones, con el objetivo de restablecer el flujo angiosómico y evitar la progresión a amputación mayor. Resultados: El procedimiento restableció adecuadamente el flujo distal, resolvió el dolor isquémico y permitió la cicatrización completa de la lesión tras la amputación del hallux. El paciente conservó la extremidad sin requerir amputación mayor durante el seguimiento. Discusión: La revascularización endovascular infrapoplítea es una técnica eficaz y segura para el salvamento de extremidades en pie diabético con isquemia crítica, particularmente en pacientes con múltiples comorbilidades. El caso se alinea con las recomendaciones de las guías IWGDF 2023 y ACC/AHA 2024.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Diabetic foot ulcers affect approximately 6% of patients with diabetes mellitus and are the antecedent of nearly 80% of non-traumatic amputations. When complicated by critical ischemia, the risk of major amputation increases significantly. Case presentation: A 66-year-old man with a 17-year history of type 2 diabetes mellitus, systemic arterial hypertension, chronic kidney disease, and previous right below-knee amputation presented with necrosis of the left hallux. Clinical and angiographic findings confirmed critical ischemia of the left lower limb.Methodology: Endovascular revascularization was performed using percutaneous transluminal angioplasty of the anterior and posterior tibial arteries with balloons, aiming to restore angiosome-directed blood flow and prevent progression to major amputation. Results: The procedure successfully restored distal blood flow, resolved ischemic pain, and allowed complete healing of the lesion following hallux amputation. The patient preserved the limb without requiring major amputation during follow-up. Discussion: Infrapopliteal endovascular revascularization is an effective and safe technique for limb salvage in diabetic foot with critical ischemia, particularly in patients with multiple comorbidities. This case aligns with the recommendations of the 2023 IWGDF and 2024 ACC/AHA guidelines.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  As úlceras do pé diabético afetam aproximadamente 6% dos pacientes com diabetes mellitus e constituem o antecedente de cerca de 80% das amputações não traumáticas. Quando complicadas por isquemia crítica, o risco de amputação maior aumenta significativamente. Apresentação do caso: Homem de 66 anos, com diabetes mellitus tipo 2 há 17 anos, hipertensão arterial sistêmica, doença renal crônica e antecedente de amputação infrapatelar direita, apresentou-se com necrose do hálux esquerdo. Os achados clínicos e angiográficos confirmaram isquemia crítica do membro inferior esquerdo. Metodologia: Foi realizada revascularização endovascular por meio de angioplastia transluminal percutânea das artérias tibial anterior e tibial posterior com balões, com o objetivo de restabelecer o fluxo direcionado ao angiossoma e evitar a progressão para amputação maior. Resultados: O procedimento restabeleceu adequadamente o fluxo distal, resolveu a dor isquêmica e permitiu a cicatrização completa da lesão após a amputação do hálux. O paciente manteve o membro sem necessidade de amputação maior durante o seguimento. Discussão: A revascularização endovascular infrapoplítea é uma técnica eficaz e segura para o salvamento de membros em pacientes com pé diabético e isquemia crítica, especialmente naqueles com múltiplas comorbidades. O caso está alinhado às recomendações das diretrizes IWGDF 2023 e ACC/AHA 2024.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pie diabético]]></kwd>
<kwd lng="es"><![CDATA[isquemia crítica]]></kwd>
<kwd lng="es"><![CDATA[angioplastía transluminal percutánea]]></kwd>
<kwd lng="es"><![CDATA[salvamento de extremidad]]></kwd>
<kwd lng="en"><![CDATA[Diabetic foot]]></kwd>
<kwd lng="en"><![CDATA[critical limb ischemia]]></kwd>
<kwd lng="en"><![CDATA[percutaneous transluminal angioplasty]]></kwd>
<kwd lng="en"><![CDATA[limb salvage]]></kwd>
<kwd lng="pt"><![CDATA[Pé diabético]]></kwd>
<kwd lng="pt"><![CDATA[isquemia crítica]]></kwd>
<kwd lng="pt"><![CDATA[angioplastia transluminal percutânea]]></kwd>
<kwd lng="pt"><![CDATA[salvamento de membro]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vásquez Cardona]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Mantilla García]]></surname>
<given-names><![CDATA[DE]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas Pérez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Galvis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mateus Caicedo]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Angioplastia de salvamento de extremidad con isquemia crítica infrapoplítea]]></article-title>
<source><![CDATA[Rev. colomb. radiol]]></source>
<year>2019</year>
<volume>30</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>5178-86</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<collab>BASIL-2 Trial Investigators</collab>
<article-title xml:lang=""><![CDATA[Bypass versus Angioplasty in Severe Ischaemia of the Leg-2 Trial]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2023</year>
<volume>388</volume>
<numero>16</numero>
<issue>16</issue>
<page-range>1465-75</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Basset]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bypass versus Angioplasty in Severe Ischaemia of the Leg-2 Trial]]></article-title>
<collab>BEAT Trial Group</collab>
<source><![CDATA[Circulation]]></source>
<year>2024</year>
<volume>149</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>303-11</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Conte]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Bradbury]]></surname>
<given-names><![CDATA[AW]]></given-names>
</name>
<name>
<surname><![CDATA[Kolh]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global vascular guidelines on the management of chronic limb-threatening ischemia]]></article-title>
<source><![CDATA[J Vasc Surg]]></source>
<year>2019</year>
<volume>69</volume>
<numero>6S</numero>
<issue>6S</issue>
<page-range>S3-S125</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cui]]></surname>
<given-names><![CDATA[H-J]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[Y-F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Efficacy of Drug-Coated Balloons and Drug-Eluting Stents in Infrapopliteal Revascularization: A Meta-analysis]]></article-title>
<source><![CDATA[J Endovasc Ther]]></source>
<year>2024</year>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Conte]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Bradbury]]></surname>
<given-names><![CDATA[AW]]></given-names>
</name>
<name>
<surname><![CDATA[Kolh]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guías Vasculares Globales sobre el manejo de la Isquemia Crónica con Amenaza de Extremidad (CLTI)]]></article-title>
<source><![CDATA[J Vasc Surg]]></source>
<year>2019</year>
<volume>69</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hinchliffe]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Forsythe]]></surname>
<given-names><![CDATA[RO]]></given-names>
</name>
<name>
<surname><![CDATA[Apelqvist]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guidelines on diagnosis, prognosis and management of peripheral artery disease in patients with foot ulcers in diabetes (IWGDF 2023)]]></article-title>
<source><![CDATA[Diabetes Metab Res Rev]]></source>
<year>2023</year>
<volume>39</volume>
<numero>S1</numero>
<issue>S1</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gornik]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
<name>
<surname><![CDATA[Aronow]]></surname>
<given-names><![CDATA[HD]]></given-names>
</name>
<name>
<surname><![CDATA[Goodney]]></surname>
<given-names><![CDATA[PP]]></given-names>
</name>
<name>
<surname><![CDATA[Arya]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Brewster]]></surname>
<given-names><![CDATA[LP]]></given-names>
</name>
<name>
<surname><![CDATA[Byrd]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS guideline for the Management of Lower Extremity Peripheral Artery Disease: A report of the American college of cardiology/American heart association joint committee on clinical practice guidelines]]></article-title>
<source><![CDATA[Circulation]]></source>
<year>2024</year>
<volume>149</volume>
<numero>24</numero>
<issue>24</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hinchliffe]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Forsythe]]></surname>
<given-names><![CDATA[RO]]></given-names>
</name>
<name>
<surname><![CDATA[Apelqvist]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[IWGDF 2023: Guidelines on diagnosis, prognosis and management of peripheral artery disease in patients with foot ulcers in diabetes]]></article-title>
<source><![CDATA[Diabetes Metab Res Rev]]></source>
<year>2023</year>
<volume>39</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Koeckerling]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Raguindin]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
<name>
<surname><![CDATA[Kastrati]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endovascular revascularization strategies for aortoiliac and femoropopliteal artery disease a meta-analysis]]></article-title>
<source><![CDATA[Eur Heart J]]></source>
<year>2023</year>
<volume>44</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>935-50</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Romiti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Albers]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Brochado-Neto]]></surname>
<given-names><![CDATA[FC]]></given-names>
</name>
<name>
<surname><![CDATA[Durazzo]]></surname>
<given-names><![CDATA[AES]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[CAB]]></given-names>
</name>
<name>
<surname><![CDATA[De Luccia]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Meta-analysis of infrapopliteal angioplasty for chronic critical limb ischemia]]></article-title>
<source><![CDATA[J Vasc Surg]]></source>
<year>2008</year>
<volume>47</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>975-81</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
