Atherosclerotic Patterns of Lower Limb Arteries in Patients with Diabetes Mellitus Undergoing Angiography in Razi Hospital, Rasht, Iran, in 2016

Document Type : Original Article (s)

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Abstract

Background: We aimed to examine the atherosclerotic patterns of lower limb arteries in patients with diabetes mellitus undergoing angiography in Razi hospital, Rasht, Iran, in 2016.Methods: In this retrospective cross-sectional study, patients with diabetes mellitus underwent angiography in an endovascular surgery center in Razi Hospital in Rasht in 2016, were evaluated. Demographic characteristics, disease-related factors, and angiographic findings were recorded. Proximal Pattern in this study was defined as significant involvement of suprageniculate arteries, and the distal pattern was defined as significant involvement of infrageniculate arteries. The extent of vascular involvement in this study was measured by trans-atlantic inter-society consensus 2 (TASC2) scale.Findings: 169 patients were included in this study. 60.9% of the patients were men, and the average age was 64.34 ± 10.26 years. Chief complaint in 58% of the patients was non-healing ulcer (58.0%). 47.3% of the patients had dyslipidemia, 65.1% had hypertension, and 22.5% of them had no other underlying diseases. 24.3% of the patients were smokers. In general, in 62.7% of all patients, the pattern of atherosclerotic involvement was distal. There was no significant relation between atherosclerotic involvement pattern and sex, body mass index (BMI) range, history of renal disease, or dyslipidemia.Conclusion: The findings showed that the most prevalent pattern of atherosclerotic vascular involvement in patients with diabetes mellitus was distal pattern. There was no significant relationship between atherosclerotic pattern and sex, BMI, history of renal disease, and dyslipidemia.

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References

  1. Graziani L, Silvestro A, Bertone V, Manara E, Andreini R, Sigala A, et al. Vascular involvement in diabetic subjects with ischemic foot ulcer: A new morphologic categorization of disease severity. Eur J Vasc Endovasc Surg 2007; 33(4): 453-60.
  2. Conte SM, Vale PR. Peripheral arterial disease. Heart Lung Circ 2018; 27(4): 427-32.
  3. Jude EB, Oyibo SO, Chalmers N, Boulton AJ. Peripheral arterial disease in diabetic and nondiabetic patients: A comparison of severity and outcome. Diabetes Care 2001; 24(8): 1433-7.
  4. Aboleineen M, mahfouz R, Moustafa T, Abdeldayem M. Pattern of peripheral arterial disease in diabetic and non diabetic patients: Association and risks correlation. Zagazig University Medical Journal 2014; 20(3): 1-8.
  5. van der Feen C, Neijens FS, Kanters SD, Mali WP, Stolk RP, Banga JD. Angiographic distribution of lower extremity atherosclerosis in patients with and without diabetes. Diabet Med 2002; 19(5): 366-70.
  6. Arjmand Shabestari A, Shahid N, Ghadimi H, Ghadimi F. Angiographic pattern of atherosclerotic involvement of lower extremity arteries in patients with and without diabetes. Diab Vasc Dis Res 2006; 3: 122-3.
  7. Okuno S, Iida O, Iida T, Takahara M, Yamaoka T, Kitano I, et al. Comparison of clinical outcomes between endovascular therapy with self-expandable nitinol stent and femoral-popliteal bypass for trans-atlantic inter-society consensus II C and D femoropopliteal lesions. Ann Vasc Surg 2019; 57: 137-43.
  8. Kolossvary M, Szilveszter B, Merkely B, Maurovich-Horvat P. Plaque imaging with CT-a comprehensive review on coronary CT angiography based risk assessment. Cardiovasc Diagn Ther 2017; 7(5): 489-506.
  9. Ramdass MJ, Harnarayan P, Mooteeram N, Nath A, Naraynsingh V, Budhooram S, et al. Patterns of arteriosclerotic lesions of the lower extremity in a West Indian population based on angiographic findings and ethnicity. Ann R Coll Surg Engl 2014; 96(2): 121-6.
  10. Diehm N, Shang A, Silvestro A, Do DD, Dick F, Schmidli J, et al. Association of cardiovascular risk factors with pattern of lower limb atherosclerosis in 2659 patients undergoing angioplasty. Eur J Vasc Endovasc Surg 2006; 31(1): 59-63.
  11. Fabris F, Zanocchi M, Bo M, Fonte G, Fiandra U, Poli L. Risk factors for atherosclerosis and aging. Int Angiol 1994; 13(1): 52-8.
  12. Allison MA, Criqui MH, Wright CM. Patterns and risk factors for systemic calcified atherosclerosis. Arterioscler Thromb Vasc Biol 2004; 24(2): 331-6.
  13. Hansen ME, Valentine RJ, McIntire DD, Myers SI, Chervu A, Clagett GP. Age-related differences in the distribution of peripheral atherosclerosis: When is atherosclerosis truly premature? Surgery 1995; 118(5): 834-9.
  14. Smith FB, Lee AJ, Fowkes FG, Lowe GD, Rumley A. Variation in cardiovascular risk factors by angiographic site of lower limb atherosclerosis. Eur J Vasc Endovasc Surg 1996; 11(3): 340-6.
Journal of Isfahan Medical School
Volume 38, Issue 587 - Serial Number 587
July and August 2020
Pages 578-581

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History

  • Receive Date: 08 February 2020
  • Revise Date: 02 November 2024
  • Accept Date: 06 April 2022

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