eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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vol. 6

Original paper
Long-term follow-up of percutaneous peripheral interventions in lower limb arteries in patients with acute coronary syndrome and diabetes

Stanisław Bartuś
Zbigniew Siudak
Michał Chyrchel
Tomasz Rakowski
Artur Dziewierz
Michał Brzeziński
Jacek Skowronek
Beata Bobrowska
Marcin Suska
Jacek S. Dubiel
Dariusz Dudek

Post Kardiol Interw 2010; 6, 3 (21): 117-121
Online publish date: 2010/10/01
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Background: Diabetes mellitus is a quite frequent comorbidity among patients with acute coronary syndromes (ACS). The presence of diabetes has also predicted poor outcome after lower limb percutaneous transluminal angioplasty (PTA).
Aim: To determine outcomes of patients with and without diabetes mellitus treated with PCI and PTA at index hospital stay during a 12-month follow-up.
Material and methods: There were 116 NSTACS (non ST elevation acute coronary syndromes) patients gathered in this prospective registry study in 2003-2009 in one academic center in Krakow, Poland.
Results: Data on consecutive patients who underwent PTA and PCI procedure during the same hospital stay were analyzed. Of these, 16 (14%) had diabetes mellitus, the other 100 (86%) had no history of diabetes. Both groups differed significantly with regard to gender and past medical history. During one-year observation 12.5% patients died in diabetes group vs. 2% in non-diabetes group (p = 0.033). Diabetes mellitus has turned out to be a strong predictor of outcome measured by the occurrence of repeated percutaneous peripheral procedure in 12-month observation.
Conclusions: Patients with diabetes mellitus have more aggravating past medical history with more frequently coexisting comorbidities. Diabetes mellitus in patients with ACS treated by PCI and PTA is associated with impaired 1-year survival. Diabetes itself is a strong predictor of repeated PTA procedures.

peripheral angioplasty, diabetes, acute coronary syndrome, limb ischaemia

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