1.2. Critical lower leg ischemia and diabetic foot

Course leader:

Prof. Dr. Zuhir Halloul

Dr. Peter Mertens

Prof. Maciej Pech

Prof. Jens Ricke

Prof. Max Seidensticker

Dr. Anne-Kathrin Wagner

Maximum number of participants: 10
Duration: 2 days
Dates: on request

Course fee: on request

Course objective: The diabetic foot syndrome is leading to 40.000 amputations in Germany every year. The relative immobilisation of patients after major-amputations is an extraordinary unfavorable predictor for the survival of those patients.
To reduce the number of amputations, the technique of below-the-knee-PTA and recanalisation was strongly further developed in recent years. To continue this development and to familiarize young physicians with the mentioned techniques, we created an intensive course for the treatment of the diabetic foot syndrome, which lives up to a high claim of quality and knowledge transfer by exercises at the large animal model.

Major target group
: Physicians experienced in performing endovascular interventions.

This course can be adapted to individual needs of e.g. hospitals and practitioners.



Day 1

Theory - Diabetic foot syndrome

Speaker endocrinologist

  • Epidemiology and its importance for clinical praxis in microtherapy
  • Pathophysiology
  • Clinical appearance, definition of critical extremity-dangering ischemia, patient selection, prognosis
  • Importance of multidisciplinary management

Diagnostic algorithm

Speaker radiologist

  • Clinical appearence, Texas classification system of ulcers
  • Importance of ABI for diabetics
  • Importance of non-invasive diagnostics: duplex sonography, CT- and MR-angiographyImportance of TcpO2 measuring
  • Diagnostic algorithms

CT- and MR-angiography in case of diabetic nephropathy

Speaker nephrologist

  • Handling of iodine-based contrast media
  • Handling of MR contrast media

Basics of crucal surgery

speaker vessel surgeon

  • Surgical techniques: femoral und popliteal bypass, patch anastomosis, in situ vain bypass and vessel prothesis
  • Possibilities and restrictions of crural surgery (hybrid operations)

Day 2

Theory and hands-on exercises in small groups
using the large animal model alternately 

Theory - Infrapopliteal endovascular revascularisation- overview

speaker radiologist

  • Indications and contraindications
  • Treatment strategies, possibilities and limits with modern materials
  • Literature update on results of treatments with balloons and stents
  • Identification of the treatment goal: do all three vessels have to be revasculated?
  • Medication
  • Follow-up

Infrapopliteal endovascular revascularisation materials and selection of materials

Speaker radiologist

  • Introducers
  • Wires for intraluminal, subintimal passage, CTO (chronic total occlusion) wires
  • Catheters Balloons: standard balloons, low-profile balloons, drug-eluting balloons
  • Stents: balloon mounted, self-expanding, drug-elutingOverview of the current literature: drug-eluting balloons and stents

Infrapopliteal PTA step-by-step

Speaker radiologist

  • Access paths
  • Alternate access paths (a. tibialis ant/post, A. poplitea)
  • Technique of the intraluminal recanalisation
  • Technique of the subintimal recanalisation
  • SAFARI technique Inidications for stents
  • Tips and tricks
  • Management of complications

Case discussions

  • Presentation of instructive individual cases for the development of treatment strategies
  • Participants can present cases for discussion


Hands-on practical using the large animal model

  • Demonstration of available materials
  • Exercises using the large animal model


  • Sonography-guided antegrad vessel puncture
  • Deployment of different guide wires
  • PTA with dedicated lower leg balloon-dilatation catheters
  • Placement of stents
  • Exercises using the foot model
  • Deployment of closure systems

Validation of our latest courses

  • 15.-16.05.2014  - Note: 1,3
  • 17.-18.10.2013  - Note: 1,3
  • 25.-26.04.2013  - Note: 1,4
  • 21.-22.06.2012  - Note: 1,3

Registration Conditions:

Registration is compulsory. Cancellations recieved up to two weeks prior to the event date will be charged with a processing fee of 25,- Euros. After this date or in case of non-attendance, we will calculate the entire conference fee. Registration as well as cancellation must be in writing.


Please contact Madeleine Beneke for all general or booking requests.
phone: +49 391 6715561
e-mail: info@dafmt.de
address: Leipziger Strasse 44, 39120 Magdeburg/Germany