Impact of Coronary Artery Disease and Diabetes Mellitus on the Long-Term Follow-Up in Patients after Retrograde Recanalization of the Femoropopliteal Arterial Region.

التفاصيل البيبلوغرافية
العنوان:	Impact of Coronary Artery Disease and Diabetes Mellitus on the Long-Term Follow-Up in Patients after Retrograde Recanalization of the Femoropopliteal Arterial Region.
المؤلفون:	Wojtasik-Bakalarz, Joanna¹, Ruzsa, Zoltan^2,3, Rakowski, Tomasz¹, Nyerges, Andreas², Bartuś, Krzysztof¹, Stanek, Agata⁴, Dudek, Dariusz¹, Surdacki, Andrzej¹, Kleczyński, Paweł¹, Bartuś, Stanisław¹
المصدر:	Journal of Diabetes Research. 3/31/2019, p1-6. 6p.
مصطلحات موضوعية:	CORONARY disease, DIABETES, PERIPHERAL vascular diseases, FEMORAL artery
مستخلص:	The most relevant comorbidities in patients with peripheral artery disease (PAD) are coronary artery disease (CAD) and diabetes mellitus (DM). However, data of long-term follow-up of patients with chronic total occlusion (CTO) are scarce. The aim of the study was to assess the impact of CAD and DM on long-term follow-up patients after superficial femoral artery (SFA) CTO retrograde recanalization. In this study, eighty-six patients with PAD with diagnosed CTO in the femoropopliteal region and at least one unsuccessful attempt of antegrade recanalization were enrolled in 2 clinical centers. Mean time of follow-up in all patients was 47.5 months (±40 months). Patients were divided into two groups depending on the presence of CAD (CAD group: n=45 vs. non-CAD group: n=41) and DM (DM group: n=50 vs. non-DM group: n=36). In long-term follow-up, major adverse peripheral events (MAPE) occurred in 66.6% of patients with CAD vs. 36.5% of patients without CAD and in 50% of patients with DM vs. 55% of non-DM subjects. There were no statistical differences in peripheral endpoints in both groups. However, there was a statistically significant difference in all-cause mortality: in the DM group, there were 6 deaths (12%) (P value = 0.038). To conclude, patients after retrograde recanalization, with coexisting CTO and DM, are at higher risk of death in long-term follow-up. [ABSTRACT FROM AUTHOR]
قاعدة البيانات:	Academic Search Index

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الوصف
تدمد:	23146745
DOI:	10.1155/2019/6036359