ISSN: 1859 - 2872
Clinical characteristics, risk factors and damage peripheral artery in type 2 diabetic patients with chronic peripheral arterial disease
Main Article Content
Keywords
Abstract
Objective: To study the clinical characteristics, risk factors and damage peripheral artery in type 2 diabetic patients with chronic peripheral arterial disease. Subject and method: 180 patients was confirmed chronic peripheral arterial disease by percutaneous intervention (including 90 patients with type 2 diabetes (study group) and 90 patients without diabetes (control group)), inpatient treatment at vascular surgery department, Cho Ray Hospital from October 2015 to October 2018. Result: The mean age of diabetic patients with chronic peripheral arterial disease was 70.8 ± 10.6 years old, lower than the control group (74.2 ± 11.8 years old), with p<0.05. Overweight, obesity were risk factors in the study group (30% compared with 10% in the control group), diabetic patients discovered chronic peripheral arterial disease at last stage more than the control group (50% had necrosis corresponding to Rutherford stage 6 (this rate was 25.6% in the control group) 67.8% of patients with type 2 diabetes had lesions equal to 3 arteries in which the mostly occluded of the arteries below the knee (the rate occlusion of the anterior tibial, posterior tibial, and peroneal arteries, respectively, were 50%, 47.8%, 20%), statistically significant higher than the control group. Conclusion: Type 2 diabetic patients with chronic peripheral arterial disease often have diffuse lesions of the arteries below the knee, overweight and obesity are risk factors compared with patients without diabetes.
Article Details
References
2. Selvin E, Erlinger TP (2004) Prevalence of and risk factors for peripheral arterial disease in the United States: results from the National Health and Nutrition Examination Survey, 1999-2000. Circulation 110(6): 738-743.
3. Norgren L, Hiatt WR, Dormandy JA et al (2007) In ter-Society Consensus for the management of peripheral arterial disease (Tasc II). Eur J Vasc Endovasc Surg 33(1): 1-40.
4. American Diabetes Association (2018) Standards of medical care in diabetes. Diabetes care 41(1): 13- 15.
5. Rutherford RB, Baker JD, Ernst C, Johnston KW, Porter JM, Ahn S, Jones DN (1997) Recommended standards for reports dealing with lower extremity ischemia: Revised version. J Vasc Surg 26(3): 517-538.
6. Trần Đức Hùng (2016) Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị can thiệp nội mạch ở bệnh động mạch chi dưới mạn tính. Luận án Tiến sĩ y học, Học viện Quân y.
7. Jude EB, Oyibo SO, Chalmers N et al (2001) Peripheral arterial disease in diabetic and nondiabetic patients: A comparison of severity and outcome. Diabetes care 24(8): 1433-1437.
8. Mueller T, Hinterreiter F, Poelz W et al (2016) Mortality rates at 10 years are higher in diabetic than in non-diabetic patients with chronic lower extremity peripheral arterial disease. Vasc Med 21(5): 445-452.
9. Liistro F, Porto I, Angioli P et al (2013) Drug-eluting balloon in peripheral intervention for below the knee angioplasty evaluation (DEBATE-BTK): A randomized trial in diabetic patients with critical limb ischemia. Circulation 128(6): 615-621.
10. Lê Kim Cao (2018) Đánh giá kết quả sớm can thiệp nội mạch điều trị tắc hẹp ĐM chi dưới mạn tính kèm đái tháo đường. Đại học Y dược Thành phố Hồ Chí Minh.
11. DeRubertis BG, Pierce M, Ryer EJ et al (2008) Reduced primary patency srate in diabetic patients after percutaneous intervention results from more frequent presentation with limb-threatening ischemia. Journal of vascular surgery 47(1): 101-108.
Article Sidebar
