angiographic features of atherosclerotic superficial femoral artery disease in diabetics and...
TRANSCRIPT
Angiographic Features of Angiographic Features of Atherosclerotic Atherosclerotic
Superficial Femoral Superficial Femoral Artery Disease in Artery Disease in
Diabetics and Non-Diabetics and Non-diabetics Presenting diabetics Presenting
with Claudicationwith Claudication
Atif Mohammad, MDResearch Fellow
VA North Texas Health Care System
UT Southwestern Medical Center
Dallas,TX
On behalf of the investigators:
INVESTIGATORSINVESTIGATORS
Atif Mohammad, MD*†
Avantika Banerjee*
Omar Hadidi, MD†
Gene Pershwitz, MD*
Mirza Baig, MD*†
Emmanouil S. Brilakis, MD, PhD*†
*VA North Texas Health Care System, Dallas, TX; †University of Texas Southwestern Medical Center, Dallas, TX; Acknowledgements: Dallas VA Research Corporation
BACKGROUND & METHODBACKGROUND & METHOD
Though clinical outcomes following percutaneous revascularization of superficial femoral artery (SFA) varies between diabetics (DM) and non-diabetics, angiographic differences of their SFA disease has never been systemically analyzed
We conducted blinded angiographic analysis of peripheral angiograms in 117 consecutive patients (79 DM and 38 non-DM) between January 2009 - January 2011, presenting to Veterans Affairs Haelth Care System (Veterans Integrated Service Network or VISN 17) with Rutherford category 3 claudication
METHOD: ANGIOGRAPHIC METHOD: ANGIOGRAPHIC ANALYSIS ANALYSIS
BOLLINGER SCOREBOLLINGER SCORE
RESULTS: Mean Bollinger RESULTS: Mean Bollinger ScoresScores
p=0.03
Non-DM DM
RESULTS:RESULTS:
SFA: superficial femoral artery
RESULTS: Angiographic Distribution RESULTS: Angiographic Distribution of SFA in Diabetics & Non-Diabeticsof SFA in Diabetics & Non-Diabetics
n=78
n=39
SFA: superficial femoral artery
RESULTS: Lesion Flow & Stenosis Characteristics RESULTS: Lesion Flow & Stenosis Characteristics in Diabetics & Non-Diabeticsin Diabetics & Non-Diabetics
RESULTS: Lesion Characteristics & RESULTS: Lesion Characteristics & Revascularization in Diabetics & Non-Revascularization in Diabetics & Non-DiabeticsDiabetics
RESULTS: Procedural RESULTS: Procedural Complications & Outcomes in Complications & Outcomes in Diabetics & Non-DiabeticsDiabetics & Non-Diabetics
CONCLUSIONS:CONCLUSIONS:These results indicate the greater
severity of SFA disease in patients with diabetes mellitus, increased need for stenting & lower 12 month patency
Our findings also indicate to the need for dedicated strategies for improving outcomes in diabetics with peripheral arterial disease undergoing endovascular revascularization procedures for life-style limiting claudication
SFA: superficial femoral artery