Clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease

Aim. To assess the extent of the lower limb arterial calcification and to evaluate the long-term outcomes of percutaneous transluminal balloon angioplasty (PTBA) in patients with diabetes mellitus (DM), critical limb ischemia (CLI) and chronic kidney disease (CKD). Materials and Methods. 94 patien...

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Autores principales:	Natalya Leonidovna Ayubova, Olga Nikolaevna Bondarenko, Gagik Radikovich Galstyan, Oksana Vladimirovna Manchenko, Ivan Ivanovich Dedov
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2013
Materias:	diabetes mellitus critical limb ischemia percutaneous transluminal balloon angioplasty tibial artery calcification duplex ultrasonography Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/7c5f174736214dfba9492d130072356e
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spelling	oai:doaj.org-article:7c5f174736214dfba9492d130072356e2021-11-14T09:00:18ZClinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease2072-03512072-037810.14341/DM2013485-94https://doaj.org/article/7c5f174736214dfba9492d130072356e2013-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6259https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. To assess the extent of the lower limb arterial calcification and to evaluate the long-term outcomes of percutaneous transluminal balloon angioplasty (PTBA) in patients with diabetes mellitus (DM), critical limb ischemia (CLI) and chronic kidney disease (CKD). Materials and Methods. 94 patients with CLI formed two groups (CKD-positive and CDK-negative). Quantitative assessment of tibial arterial calcification was performed with non-contrast CT. Outcomes of angioplasty were monitored during the 18?6 months of the follow-up period by means of duplex ultrasonography. Results. Long-term outcomes of PTBA were significantly worse in patients with CKD. Nevertheless, limb preservation and survival rates were relatively satisfactory in both groups (74% and 72%, respectively). Conclusion. PTBA in patients with DM, CLI and CKD presents a technical challenge. Despite that, in many cases the endovascular intervention allows avoiding high-level amputations and improves survival rates.Natalya Leonidovna AyubovaOlga Nikolaevna BondarenkoGagik Radikovich GalstyanOksana Vladimirovna ManchenkoIvan Ivanovich DedovEndocrinology Research Centrearticlediabetes mellituscritical limb ischemiapercutaneous transluminal balloon angioplastytibial artery calcificationduplex ultrasonographyNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 16, Iss 4, Pp 85-94 (2013)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetes mellitus critical limb ischemia percutaneous transluminal balloon angioplasty tibial artery calcification duplex ultrasonography Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetes mellitus critical limb ischemia percutaneous transluminal balloon angioplasty tibial artery calcification duplex ultrasonography Nutritional diseases. Deficiency diseases RC620-627 Natalya Leonidovna Ayubova Olga Nikolaevna Bondarenko Gagik Radikovich Galstyan Oksana Vladimirovna Manchenko Ivan Ivanovich Dedov Clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease
description	Aim. To assess the extent of the lower limb arterial calcification and to evaluate the long-term outcomes of percutaneous transluminal balloon angioplasty (PTBA) in patients with diabetes mellitus (DM), critical limb ischemia (CLI) and chronic kidney disease (CKD). Materials and Methods. 94 patients with CLI formed two groups (CKD-positive and CDK-negative). Quantitative assessment of tibial arterial calcification was performed with non-contrast CT. Outcomes of angioplasty were monitored during the 18?6 months of the follow-up period by means of duplex ultrasonography. Results. Long-term outcomes of PTBA were significantly worse in patients with CKD. Nevertheless, limb preservation and survival rates were relatively satisfactory in both groups (74% and 72%, respectively). Conclusion. PTBA in patients with DM, CLI and CKD presents a technical challenge. Despite that, in many cases the endovascular intervention allows avoiding high-level amputations and improves survival rates.
format	article
author	Natalya Leonidovna Ayubova Olga Nikolaevna Bondarenko Gagik Radikovich Galstyan Oksana Vladimirovna Manchenko Ivan Ivanovich Dedov
author_facet	Natalya Leonidovna Ayubova Olga Nikolaevna Bondarenko Gagik Radikovich Galstyan Oksana Vladimirovna Manchenko Ivan Ivanovich Dedov
author_sort	Natalya Leonidovna Ayubova
title	Clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease
title_short	Clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease
title_full	Clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease
title_fullStr	Clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease
title_full_unstemmed	Clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease
title_sort	clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease
publisher	Endocrinology Research Centre
publishDate	2013
url	https://doaj.org/article/7c5f174736214dfba9492d130072356e
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_version_	1718429588898447360

Clinical outcomes of lower limb peripheral vascular disease after endovascular intervention in patients with diabetes mellitus, critical limb ischemia and chronic kidney disease

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