The multidisciplinary team (MDT) for the management of the diabetic foot of the “ΑΤΤΙΚΟΝ” University General Hospital, Athens, Greece, was invited to organize a round table entitled: “Multidisciplinary approach to the diabetic foot “, during the European Congress of Radiology (27-3 March 2019, Vienna, Austria), in order to present the optimal diagnostic and treatment approach for diabetic foot disease. The congress was attended by more than 30.000 participants. The “ATTIKON” team was represented by Dr. Elias Brountzos, Professor of Interventional Radiology (Chairperson), Mr. George Geroulakos, Professor of Vascular Surgery, Dr. Vaia Lampadiari, Associate Professor of Internal Medicine and Diabetology Dr. Olympia Papakonstantinou, Assistant Professor of Radiology and Dr. Stavros Spiliopoulos, Assistant Professor in Interventional Radiology.
At the beginning of the session, Prof. Brountzos presented the severity and the increasing world-wide incidence of the disease and highlighted the importance of regular MDT meetings for the prompt diagnosis and treatment of the diabetic foot, focusing on current endovascular and surgical treatment options. Subsequently, Dr. Lampadiari discussed the magnitude of the social problem created by the disease as well as the modern clinical approach for the management of diabetic foot disease. Dr. Papakonstantinou analysed extensively all modern diagnostic protocols of magnetic resonance and computed tomography imaging, used to identify both infection and vascular disease in subjects suffering from diabetic foot, while Dr. Spiliopoulos presented the indications, contraindications and long-term results of currently available endovascular revascularization procedures, as well as the recent investigational trends in the field of endovascular surgery. Finally Prof. Geroulakos presented the indications and results of open surgical treatment options for the revascularization of the distal foot and highlighted the importance of surgical debridement in wound healing as well as the significant impact of the level of amputation in the patient’s quality of life.
At the end of the session, all team members presented and discussed interesting diabetic foot cases that have been successfully treated at “ΑΤΤΙΚΟΝ” University General Hospital, while the conclusion of the round table discussion was the need for substantial and frequent collaboration between all medical specialties involved in the management of diabetic foot in order to optimize treatment outcomes.
https://www.myesr.org/sites/default/files/2019-03/ECR%20Today%202019_Sunday_March%203.pdf
