Percutaneous transluminal angioplasty of crural arteries: diabetes and other factors influencing outcome

Gudmundur Danielsson, Ulf Albrechtsson, Lars Norgren, Peter Danielsson, Else Ribbe, Johan Thörne, Z Zdanowski

Research output: Contribution to journalArticlepeer-review

47 Citations (SciVal)

Abstract

OBJECTIVE: to evaluate the efficacy of percutaneous transluminal angioplasty (PTA) of the crural arteries. PATIENTS AND METHODS: a retrospective review of patients treated with PTA of at least one crural artery during an 8-year period (1990--1997). RESULTS: one hundred and fifty-five legs in 140 consecutive patients (mean age 74 years, range 38--91 years) were treated. In 76% a more proximal lesion was also treated. After 1 year, results were significantly better in non-diabetics (improvement rate of 66% vs 32%p <0.05). The outcome for patients with a combination of diabetes, heart disease and renal disease was significantly worse compared to all other patients with an improvement rate of only 9% after 1 year. Patients alive and not amputated at 1 year were significantly more common (p <0.05) among non-diabetics (90%), compared to diabetics (66%). The 1-year mortality for the whole group was 15%, significantly higher for diabetic patients (p =0.04). CONCLUSION: PTA of crural arteries produces reasonably good results in non-diabetic patients. Diabetic patients were doing worse than non-diabetics after a year, though 1-month results were not significantly different. Patients with diabetes, heart disease and renal disease make a high-risk group that has a significantly worse outcome.
Original languageEnglish
Pages (from-to)432-436
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume21
Issue number5
DOIs
Publication statusPublished - 2001

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Surgery (Lund) (013009000), Diagnostic Radiology, (Lund) (013038000)

Subject classification (UKÄ)

  • Surgery

Keywords

  • Percutaneous transluminal angioplasty
  • Crural artery
  • Clinical outcome
  • Diabetes

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