Relationship between clinical, imaging characteristics and risk factors with morphology and severity of peripheral arterial disease in type 2 diabetic patients

  • Le Ngoc Long Dau Tieng District Medical Center
  • Pham Nguyen Son 108 Military Central Hospital
  • Nguyen Hong Tot 108 Military Central Hospital
  • Vo Thanh Nhan Cho Ray Hospital

Main Article Content

Keywords

Diabetes, chronic peripheral arterial disease, Cho Ray Hospital

Abstract

Objective: To investigate the relationship between clinical, imaging characteristics and risk factors with morphology and severity of peripheral arterial disease in type 2 diabetic patients during percutaneous intervention in diabetic patients. Subject and method: 90 patients with type 2 diabetes diagnosed with chronic peripheral arterial disease by percutaneous intervention, inpatient treatment at the Vascular Surgery Department, Cho Ray Hospital from October 2015 to October 2018. Result: The onset of type 2 diabetes over 5 years increased the risk of peripheral artery occlusion significantly higher than the group under 5 years (OR = 6.376 with 95%CI from 1.083 to 37.55 with p=0.04). Pre-intervention ABI ≤ 0.4 had a statistically significant higher risk of artery occlusion than the group with pre-intervention ABI > 0.4 (OR = 5.732 with 95%CI from 1.287 to 25.532 with p=0.02). Conclusion: The onset of type 2 diabetes over 5 years and pre-intervention ABI ≤ 0.4 has independent predictive value with severity of peripheral arterial occlusion in type 2 diabetic patients.

Article Details

References

1. 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.
2. Norgren L, Hiatt WR, JA Dormandy M 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.
3. American Diabetes Association (2018) Standards of medical care in diabetes. Diabetes care 41(1): 13-15).
4. 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. Trường Đại học Y dược Thành phố Hồ Chí Minh.
5. Nông Thị Thùy Linh, Vũ Bích Nga (2021) Đặc điểm lâm sàng, cận lâm sàng của bệnh động mạch chi dưới ở bệnh nhân đái tháo đường típ 2. Tạp chí nội tiết và đái tháo đường, số 46 năm 2021
6. Trần Đức Hùng (2016) Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị can thiệp nội mạch ở BĐMCDMT. Học viện Quân y.
7. Dương Văn Nghĩa, Phan Kim Toàn (2018) Nghiên cứu một số đặc điểm cận lâm sàng ở bệnh nhân BĐMCDMT. Tạp chí Y Dược học quân sự 6, tr. 73-77.
8. American Diabetes Association (2003) Peripheral arterial disease in people with diabetes. Diabetes Care 26: 3333-3341.
9. Khan TH, Farooqui FA, Niazi K (2008) Critical review of the ankle brachial index. Curr Cardiol Rev 4: 101-106.
10. Dachun Xu, Jue Li, Liling Zou et al (2010) Sensitivity and specificity of the ankle-brachial index to diagnose peripheral artery disease: A structured review. Vasc Med 15: 361-369.
11. Ejiofor Ugwu, Anthony Anyanwu, Michael Olamoyegun (2021) Ankle brachial index as a surrogate to vascular imaging in evaluation of peripheral artery disease in patients with týpe 2 diabetes. BMC Cardiovasc Disord 21: 10.

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Published
Mar 21, 2022
DOI: https://doi.org/10.52389/ydls.v17i2.1145
Issue
Volume 17 - No 2/2022
Section
Articles
How to Cite
LongL. N., SonP. N., TotN. H., & NhanV. T. (2022). Relationship between clinical, imaging characteristics and risk factors with morphology and severity of peripheral arterial disease in type 2 diabetic patients . Tạp Chí Y Dược lâm sàng 108, 17(2). https://doi.org/10.52389/ydls.v17i2.1145