Comparative study of angiographic changes in diabetic and non-diabetic patients with peripheral arterial disease

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorTrainotti, Giovanni Ortale-
Autor(es): dc.creatorMariúba, Jamil Victor-
Autor(es): dc.creatorBertanha, Matheus-
Autor(es): dc.creatorSobreira, Marcone Lima-
Autor(es): dc.creatorYoshida, Ricardo de Alvarenga-
Autor(es): dc.creatorJaldin, Rodrigo Gibin-
Autor(es): dc.creatorde Camargo, Paula Angeleli Bueno-
Autor(es): dc.creatorYoshida, Winston Bonetti-
Data de aceite: dc.date.accessioned2025-08-21T23:08:20Z-
Data de disponibilização: dc.date.available2025-08-21T23:08:20Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/1677-5449.202000531-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/248364-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/248364-
Descrição: dc.descriptionBackground: 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.-
Descrição: dc.descriptionUniversidade Estadual Paulista – UNESP Faculdade de Medicina de Botucatu Hospital das Clínicas, SP-
Descrição: dc.descriptionUniversidade Estadual Paulista – UNESP Faculdade de Medicina de Botucatu Hospital das Clínicas, SP-
Idioma: dc.languageen-
Idioma: dc.languagept_BR-
Relação: dc.relationJornal Vascular Brasileiro-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectdiabetes-
Palavras-chave: dc.subjectdigital angiography-
Palavras-chave: dc.subjectperipheral vascular diseases-
Título: dc.titleComparative study of angiographic changes in diabetic and non-diabetic patients with peripheral arterial disease-
Título: dc.titleComparação das alterações angiográficas entre pacientes diabéticos e não diabéticos com doença arterial periférica-
Tipo de arquivo: dc.typelivro digital-
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