engleski

Peripheral Arterial Disease And Diabetes Mellitus

The aim of this study was to establish clinical characteristics and consequences of peripheral arterial disease in diabetic patients. The study included 350 inpatients, 54.6% men and 45.4% women. Women were statistically significantly older than men (67.2&#177; 9.1 vs. 61.7&#177; 9.8 years ; p<0.0001). There were no statistically significant differences in diabetes duration (15.1&#177; 9.4 and 16.0&#177; 8.2 years in men and women, respectively ; &#967; 2-test=3.2 ; df=2 ; NS). Among study patients, 87.2% had lower leg peripheral arterial disease, 27.3% had an isolated form, and 59.9% had changes in proximal arteries. Asymptomatic stage of the disease was found in 12.6%, intermittent claudication in 38.9%, chronic critical ischemia in 25.7%, and foot ulcer or gangrene in 22.8% of patients. A total of 36 bypasses, 20 percutaneous transluminal angioplasties and 10 lumbar sympathectomies were performed in 15.7% of patients. A hundred and seven amputations, 70.1% minor and 29.9% major, were performed in 22.8% of patients. Early detection and regular ultrasound check-ups can increase the number of surgical or endovascular interventions, thus reducing the rate of amputations.

peripheral arterial disease; diabetes mellitus; amputations; bypass; percutaneous transluminal angioplasty

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