Evaluation of Local Capillary Blood Lactate in Chronic Critical Ischemia of Lower Limb Before and After Revascularization (ELIT)

Inclusion Criteria:

• Ischemia Chronic critical lower limb revascularization procedure requiring fast.
• Written consent informed patient age greater than or equal to 18

Exclusion Criteria:

• Presence of an inflammatory or infectious (erysipelas) in the ischemic member.

• Patients at risk for diabetic foot ie, as defined by the HAS (preventing diabetic foot, 2007)

  • presence of sensory neuropathy, and / or
  • foot deformities (hallux valgus, hammer toes or claw, prominence of the metatarsal heads), and / or
  • history of foot ulceration, and / or
  • antecedent of one of these factors (ie antécedant diabetic foot).
• Necrosis of the toes.
• Participation in another clinical research protocol.
• Presence of peripheral arterial disease in the bilateral upper limbs.
• Patient in shock whatever the cause.
• Presence of hepatic failure.
• Too impaired general condition (bedridden, dementia, ...)
• Refusal of the patient to participate in the study
• Protected patients