Revista da Associação Médica Brasileira (English Edition) Revista da Associação Médica Brasileira (English Edition)
Rev Assoc Med Bras. 2013;59:557-62 - Vol. 59 Num.06

Arteriographic findings in diabetic and nondiabetic patients with critical limb ischemia

Vanessa Prado dos Santos a, Carlos Alberto Silveira Alves b, Cícero Fidelis c, José Siqueira de Araújo Filho c

a Instituto de Humanidades Artes e Ciências Professor Milton Santos, Universidade Federal da Bahia, Salvador, BA, Brazil
b Service of Vascular Surgery, Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, BA, Brazil
c Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, BA, Brazil

Keywords

Diabetes mellitus. Atherosclerosis. Ischemia. Digital subtraction angiography. Diabetes complications

Abstract

Objective: To compare angiographic findings of diabetic and nondiabetic patients with critical limb ischemia.

Methods: We included 161  patients with infrainguinal critical limb ischemia (CLI). We evaluated the clinical and arteriographic (number and presence of opacification of leg arteries) of the two groups of patients. Statistical analysis was performed using EPI-INFO.

Results: Most patients were category 5 of Rutherford's Classification and had femoropopliteal disease. Seventy-two percent of nondiabetic and 67% of diabetic patients had opacification of the fibular artery (p = 0.25), which is the most present artery in both groups. Diabetic patients had less opacification of the posterior tibial artery in the univariate analysis (29% vs. 47%, p  =  0.008). But only female sex showed a significant risk for the absence of the posterior tibial artery in logistic regression (OR = 2.6; p = 0.01).

Conclusion: The peroneal artery was the most frequently found artery in angiograms of diabetic and nondiabetic patients with CLI. Diabetic and nondiabetic patients did not differ in angiographic findings of the leg.

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