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《Chinese Journal of Diabetes》 2004-05
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Angiographic study of peripheral arterial disease in diabetic and non-diabetic patients

CHANG Jian, XU Zhang- rong, WANG Zhi-qiang, et al. The 306th Hospital of PLA, Beijing 100101, China  
Objective To compare the angiographic features in the diabetic or non-diabetic patients with peripheral arterial disease. Methods Forty-three diabetic patients and 39 nondiabetic patie nts with peripheral arterial occlusive disease underwent arteriography. Stenose s in the abdominal aorta, the common iliac artery, the external iliac artery, th e internal iliac artery, the superficial femoral artery, the profunda femoral ar tery, the popliteal artery, the anterior tibial artery, the posterior tibial art ery, and the peroneal artery were scored on the basis of vessel lumen reduction: 0 if stenoses involved the vessel lumen reduction of 50%; 1 if 50% to 70% red uction; 2 if 75% to 100% reduction , and 3 if total occlusion was present. The sum of the points assigned to each of these arteries was called the angiogra phic score. Results The prevalences of the abdominal aortic d isease, the visceral, the profunda femoral and the anterior tibial arterial dise ase, were 33/34(97%), 11/30(37%), 11/69(16%), 25/42(60%) in non-diabetics and 2 6/36(72%), 1/36(3%), 24/78(31%) and 61/75(81%) in diabetics (P=0.0271~0.0 007), respectively. The angiographic scores (mean±SD) in the abdominal aorta, the common iliac artery, the internal iliac artery were significantly higher in non-diabetic than diabetic patients (0.26±0.67 vs 0, 0 .55±1.06 vs 0.15±0.58, 1.08±1.29 vs 0.57±1.05, P0.02, 0.004, 0.008 ) . However, there were significantly higher scores for other peripheral arterie s in diabetics than in non-diabetics: 0.60±0.61 vs 0.17±0.48 for the profunda femoral artery, 1.15±0.82 vs 0.75±1.22 for the popliteal artery, 1.92±1.39 vs 0.81±0.94 for the anterior tibial artery, 1.72 ±1.85 vs 1.07±1.00 for the posterior tibial artery and 1.99±1.05 vs 0.98± 1.00 for the peroneal artery, all these differences were significa nt. Conclusions The abdominal aorta and the visceral artery a re more often involved in non-diabetic patients. Arterial diseases in diabetic patients are more often and more severe in the profunda femoral, the popliteal, the anterior tibial, the posterior tibial, or the peroneal artery.
【Key Words】: Diabetes mellitus Arterial occlusive dise ase Angiography
【CateGory Index】: R816.2
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