| Full text | |
| Author(s): |
Giovanni Ortale Trainotti
[1]
;
Jamil Victor Mariúba
[2]
;
Matheus Bertanha
[3]
;
Marcone Lima Sobreira
[4]
;
Ricardo de Alvarenga Yoshida
[5]
;
Rodrigo Gibin Jaldin
[6]
;
Paula Angeleli Bueno de Camargo
[7]
;
Winston Bonetti Yoshida
[8]
Total Authors: 8
|
| Affiliation: | [1] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Hospital das Clínicas - Brasil
[2] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Hospital das Clínicas - Brasil
[3] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Hospital das Clínicas - Brasil
[4] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Hospital das Clínicas - Brasil
[5] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Hospital das Clínicas - Brasil
[6] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Hospital das Clínicas - Brasil
[7] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Hospital das Clínicas - Brasil
[8] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Hospital das Clínicas - Brasil
Total Affiliations: 8
|
| Document type: | Journal article |
| Source: | Jornal Vascular Brasileiro; v. 22, 2023-02-10. |
| Abstract | |
Abstract Background Diabetics are at 5-15 times greater risk of developing peripheral arterial disease (PAD) and few studies have compared risk factors and distribution and severity of arterial changes in diabetics compared with non-diabetics. Objectives To compare angiographic changes between diabetic and non-diabetic patients with advanced PAD and correlate them with risk factors. Methods A retrospective cross-sectional study was conducted of consecutive patients undergoing lower limb arteriography for PAD (Rutherford 3-6) using TASC II and Bollinger et al. angiographic scores. Exclusion criteria were upper limb angiographies, unclear images, incomplete laboratory test results, and previous arterial surgeries. Statistical analyses included chi-square tests, Fisher's test for discrete data, and Student’s t test for continuous data (significance level: p < 0.05). Results We studied 153 patients with a mean age of 67 years, 50.9% female and 58.2% diabetics. A total of 91 patients (59%) had trophic lesions (Rutherford 5 or 6) and 62 (41%) had resting pain or limiting claudication (Rutherford 3 and 4). Among diabetics, 81.7% were hypertensive, 29.4% had never smoked, and 14% had a history of acute myocardial infarction. According to the Bollinger et al. score, infra-popliteal arteries were more affected in diabetics, especially the anterior tibial artery (p = 0.005), while the superficial femoral artery was more affected in non-diabetics (p = 0.008). According to TASC II, the most severe angiographic changes in the femoral-popliteal segment occurred in non-diabetic patients (p = 0.019). Conclusions The most frequently affected sectors were the infra-popliteal sectors in diabetics and the femoral sector in non-diabetics. (AU) | |
| FAPESP's process: | 15/15754-6 - Comparative angiographic study of diabetic and non-diabetic patients with critical limb ischemia |
| Grantee: | Giovanni Ortale Trainotti |
| Support Opportunities: | Scholarships in Brazil - Scientific Initiation |