Peripheral Artery Disease Severity in Diabetic patients with and without Chronic Renal Failure: An Angiographic Study
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 1
Abstract
Objective: The aim of this study is to investigate the effect of diabetes-associated chronic renal failure (CRF) on the severity of peripheral arterial disease (PAD) using angiography. Material-Method: The angiographic images of 154 diabetic patients who have undergone balloon angioplasty were examined. Patients were divided into two groups of CRF and non-CRF. PAD severity was determined based on the angiographic images using the Bollinger score system. PAD severity was compared in the lower limb arteries of both groups. Results: In the study group, 90(58%) patients had only diabetes mellitus (DM), and 64 (42%) had DM and associated CRF. The mean of total, infrapopliteal and suprapopliteal level angiogram scoring of patients with DM and CRF and were 39.42 (std±8.96), 32.69 (std±7.73), 6.67(std±3.09), and with only DM were 31.9 (std±6.45), 28.4(std±6.4), 3.5(std± 2.45), respectively. There was a statistically significant difference between the mean total and suprapopliteal level angiogram scoring of the two groups (p:0.003, p: 0.008). Conclusion: This angiographic study confirms that the PAD severity at lower extremity arteries in patients with DM and CRF is significantly more than in patients with DM without CRF.
Authors and Affiliations
Mehmet Burak Cildag
Keywords
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