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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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Abstract


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.

Natalya Leonidovna Ayubova

Endocrinology Research Centre, Moscow

Author for correspondence.
Email: aubova@mail.ru

Russian Federation Postgraduate student

Olga Nikolaevna Bondarenko

Endocrinology Research Centre, Moscow

Email: aubova@mail.ru

Russian Federation MD, PhD, Leading Researcher in the Diabetic foot department

Gagik Radikovich Galstyan

Endocrinology Research Centre, Moscow

Email: foot@endocrincentr.ru

Russian Federation MD, PhD, Professor, Head of Diabetic foot department

Oksana Vladimirovna Manchenko

Endocrinology Research Centre, Moscow

Email: foot@endocrincentr.ru

Russian Federation MD, PhD, Assistant Researcher in the X-ray diagnostic department

Ivan Ivanovich Dedov

Endocrinology Research Centre, Moscow

Email: post@endocrincentr.ru

Russian Federation MD, PhD, Professor, Fellow of Russian Academy of Sciences, Fellow of Russian Academy of Medical Sciences

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Copyright (c) 2013 Ayubova N.L., Bondarenko O.N., Galstyan G.R., Manchenko O.V., Dedov I.I.

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