Year 2020, Volume 4 , Issue 11, Pages 998 - 1002 2020-11-01

Diyabetik ve non-diyabetik hasta gruplarında kronik ekstremite tehdit eden iskemide endovasküler tedavi etkinliğinin değerlendirilmesi
Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients

Yusuf Salim URCUN [1] , Arda Aybars PALA [2]


Amaç: Periferik arter hastalıkları, aterosklerozun neden olduğu günümüzde giderek yaygınlaşan hastalıklardır. Çalışmamızda Periferik Transluminal Anjiyoplasti (PTA) uygulanan kronik ekstremite tehdit eden bacak iskemisi olan, diyabetik ve non-diyabetik hasta gruplarının, klinik sonuçlarını değerlendirmeyi amaçladık. Yöntemler: Haziran 2013 - Mart 2020 tarihleri arasında kronik ekstremite tehdit eden bacak iskemisi (Rutherford sınıf 4 ve üzeri) nedeniyle alt ekstremite arteriyel lezyonlarına (darlık / tıkanıklık) perkütan transluminal anjiyoplasti (PTA) işlemi uygulanan 150 hasta (84 diyabetik / 66 non-diyabetik) çalışmaya dahil edilmiştir. Bulgular: Altı aylık primer açıklık oranları diyabetik ve diyabetik olmayan grupta sırasıyla %86,5 ve %93,3 idi. 12 aylık primer açıklık oranları %73,0 ve %73,3 iken; 12 aylık sekonder açıklık oranları ise %66,7 ve %77,8 idi. Açıklık oranları açısından gruplar arasında farklılık tespit edilmedi. Diyabetik hasta grubunda majör ampütasyon (%16,7-%6,1; P=0,003) ve toplam amputasyon oranları (%34,6-%22,8; P=0,004) istatistiksel olarak anlamlı düzeylerde daha yüksekti. Sonuç: Endovasküler tedavi sonrası ekstremite tehdit eden kronik bacak iskemisi olan diyabetik ve diyabetik olmayan hasta gruplarında açıklık ve amputasyon oranları değerlendirildiğinde, her iki grupta da başarılı klinik sonuçlar bildirilmiştir. Güncel sonuçlarımız, endovasküler tedavinin ekstremite tehdit eden iskemide her iki hasta grubunda da etkili bir şekilde kullanılabileceğini göstermektedir.
Aim: Peripheral artery diseases are a very common manifestation of atherosclerosis. We assessed the clinical outcomes of diabetic versus non-diabetic patients with chronic limb-threatening leg ischemia who underwent Peripheral Transluminal Angioplasty (PTA). Methods: The patients (84 diabetic/66 non-diabetic) who underwent percutaneous transluminal angioplasty (PTA) in the lower extremity arterial lesions (stenosis/occlusion) because of chronic limb-threatening leg ischemia (Rutherford class 4 and above) between June 2013 and March 2020 were included in the study. Results: Six-month primary patency rates were 86.5% and 93.3% in the diabetic and non-diabetic group, respectively. The 12-month primary patency rates were 73.0% and 73.3%; and 12-month secondary patency rates were 66.7% and 77.8%. No differences were detected between the groups in terms of patency rates. Major amputation and total amputation rates were higher at statistically significant levels in the diabetic patient group (%16.7% vs. 6.1%; P=0.003) (34.6% vs. 22.8%); P=0.004) Conclusion: When patency and amputation rates are evaluated in diabetic and non-diabetic patient groups with limb-threatening chronic leg ischemia after endovascular treatment, good clinical results were reported in these two groups. Current results suggest that endovascular treatment can be used safely and effectively in both patient groups.
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Primary Language en
Subjects Cardiac and Cardiovascular Systems
Journal Section Research article
Authors

Orcid: 0000-0002-1061-1900
Author: Yusuf Salim URCUN (Primary Author)
Institution: Adıyaman Eğitim ve Araştırma Hastanesi
Country: Turkey


Orcid: 0000-0001-7056-9313
Author: Arda Aybars PALA
Institution: Adıyaman Eğitim ve Araştırma Hastanesi
Country: Turkey


Dates

Publication Date : November 1, 2020

Bibtex @research article { josam811915, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {998 - 1002}, doi = {10.28982/josam.811915}, title = {Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients}, key = {cite}, author = {Urcun, Yusuf Salim and Pala, Arda Aybars} }
APA Urcun, Y , Pala, A . (2020). Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients . Journal of Surgery and Medicine , 4 (11) , 998-1002 . DOI: 10.28982/josam.811915
MLA Urcun, Y , Pala, A . "Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients" . Journal of Surgery and Medicine 4 (2020 ): 998-1002 <http://jsurgmed.com/en/pub/issue/57748/811915>
Chicago Urcun, Y , Pala, A . "Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients". Journal of Surgery and Medicine 4 (2020 ): 998-1002
RIS TY - JOUR T1 - Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients AU - Yusuf Salim Urcun , Arda Aybars Pala Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.811915 DO - 10.28982/josam.811915 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 998 EP - 1002 VL - 4 IS - 11 SN - -2602-2079 M3 - doi: 10.28982/josam.811915 UR - https://doi.org/10.28982/josam.811915 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients %A Yusuf Salim Urcun , Arda Aybars Pala %T Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 11 %R doi: 10.28982/josam.811915 %U 10.28982/josam.811915
ISNAD Urcun, Yusuf Salim , Pala, Arda Aybars . "Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients". Journal of Surgery and Medicine 4 / 11 (November 2020): 998-1002 . https://doi.org/10.28982/josam.811915
AMA Urcun Y , Pala A . Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients. J Surg Med. 2020; 4(11): 998-1002.
Vancouver Urcun Y , Pala A . Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients. Journal of Surgery and Medicine. 2020; 4(11): 998-1002.
IEEE Y. Urcun and A. Pala , "Assessment of the efficacy of endovascular treatment in chronic limb-threatening ischemia in diabetic and non-diabetic patients", Journal of Surgery and Medicine, vol. 4, no. 11, pp. 998-1002, Nov. 2020, doi:10.28982/josam.811915