Approaches to Peripheral Artery Disease in Diabetes: Are There Any Differences?

Achim, Alexandru; Stanek, Agata; Homorodean, Călin; Spînu, Mihail; Onea, Horea-Laurentiu; Lazar, Florin-Leontin; Marc, Madalin; Ruzsa, Zoltán; Olinic, Dan-Mircea

doi:10.3390/ijerph19169801

Cited by 34 publications

(28 citation statements)

References 63 publications

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“…Although diabetes is a frequent comorbidity in patients with CVD, the exact correlation between the two is not yet known [ 43 ]. Similarly, unlike in the arterial system, where the presence of diabetes may accelerate the incidence of in-stent restenosis (ISR) [ 44 , 45 ], the effect of diabetes on ISR in venous stents is not clearly known.…”

Section: Resultsmentioning

confidence: 99%

An Overview of Specific Considerations in Chronic Venous Disease and Iliofemoral Venous Stenting

Saleem

2023

JPM

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Unlike arterial disease, chronic venous disease (CVD) is rarely life-threatening or limb-threatening. However, it can impose substantial morbidity on patients by influencing their lifestyle and quality of life (QoL). The aim of this nonsystematic narrative review is to provide an overview of the most recent information on the management of CVD and specifically, iliofemoral venous stenting in the context of personalized considerations for specific patient populations. The philosophy of treating CVD and phases of endovenous iliac stenting are also described in this review. Additionally, the use of intravascular ultrasound is described as the preferred operative diagnostic procedural tool for iliofemoral venous stent placement.

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Section: Resultsmentioning

confidence: 99%

An Overview of Specific Considerations in Chronic Venous Disease and Iliofemoral Venous Stenting

Saleem

2023

JPM

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“…In this case, acne represented the only possible entry that could be detected [27]. "Hidden" entry portals for IE could be discrete skin lesions in patients with diabetes mellitus and peripheral artery disease [28] or micro-organisms of gastrointestinal origin (gastrointestinal polyps, tumors, etc.) [29].…”

Section: Current Reports and Actual Evidencementioning

confidence: 98%

Surgical Atrial Septal Patch Endocarditis in a Patient with a Complete Corrected Atrioventricular Canal Defect: A Case Report and Review of the Literature

Șerban

Achim²,

Gavan³

et al. 2023

Diagnostics

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Infective endocarditis (IE) is common in patients with corrected congenital heart disease (CHD) with a residual lesion, but is rarely found on surgical patches used to close atrial septal defects (ASDs). This is also reflected in the current guidelines that do not recommend antibiotic therapy for patients with a repaired ASD with no residual shunt six months after closure (percutaneous or surgical). However, the situation could be different in the case of mitral valve endocarditis, which causes leaflet disruption with severe mitral insufficiency and could seed the surgical patch. We present herein a 40-year-old male patient with a past medical history of a complete surgically corrected atrioventricular canal defect performed in childhood who presented with fever, dyspnea and severe abdominal pain. Transthoracic and transesophageal echocardiography (TTE and TEE) revealed vegetation at the level of the mitral valve and the interatrial septum. The CT scan confirmed ASD patch endocarditis and multiple septic emboli, guiding the therapeutic management. An accurate evaluation of cardiac structures should be mandatory when a systemic infection is detected in CHD patients, even if the defects were surgically corrected, because the detection and eradication of such infectious foci as well as a surgical reintervention are particularly difficult to achieve in this subpopulation.

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“…Untreated or advanced stage PAD may lead to tissue loss and amputation [ 13 , 14 ]. Risk factors for PAD include age, race, smoking, hypertension, diabetes, and hyperlipidemia [ 15 , 16 , 17 ]. PAD is associated with considerable physical and psychosocial disease burden, primarily resulting from impaired functional status and quality of life [ 18 , 19 , 20 , 21 , 22 ] Studies conducted in the U.S. and Hungary have highlighted that functional impairment and pain resulting from lower extremity arterial ischemia leads to reduced quality of life and, consequently, a considerable proportion of PAD patients experience severe symptoms of anxiety and depression.…”

Section: Introductionmentioning

confidence: 99%

Disease-Specific Quality of Life among Patients with Peripheral Artery Disease in Hungary

Horváth

Boncz

Kívés

et al. 2023

IJERPH

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Peripheral artery disease (PAD) is a progressive atherosclerotic disease significantly impacting functional status and health-related quality of life (HRQoL). This study aimed to investigate HRQoL among PAD patients in Hungary using the validated Hungarian version of the PADQoL questionnaire. Patients with symptomatic PAD were consecutively recruited from the Department of Angiology, Clinical Center, University of Pécs, Hungary. Demographics, risk factors, and comorbidities were registered. Disease severity was measured by Fontaine and WIFI stages. Descriptive statistical analysis, Chi-square test, and non-parametric tests were performed (p < 0.05). Overall, 129 patients (mean age 67.6 ± 11.9 years, men 51.9%) participated in our study. The Hungarian PADQoL demonstrated good internal consistency (α range: 0.745–0.910). Factors on intimate and social relationships gave the best (89.15 ± 20.91; 63.17 ± 26.05) and sexual function (28.64 ± 27.42), and limitations in physical functioning (24.68 ± 11.40) the worst scores. PAD had a significant negative impact on the social relationships of patients aged 21–54 years (51.6 ± 25.4). Fontaine stage IV patients experienced significantly lower HRQoL due to fear and uncertainty (46.3 ± 20.9) and limited physical functioning (33.2 ± 24.8). The Hungarian PADQoL identified central aspects of HRQoL. Advanced PAD was found to impact several areas of HRQoL, primarily physical functioning and psycho-social well-being, drawing attention to the importance of early diagnosis and management.

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Approaches to Peripheral Artery Disease in Diabetes: Are There Any Differences?

Cited by 34 publications

References 63 publications

An Overview of Specific Considerations in Chronic Venous Disease and Iliofemoral Venous Stenting

An Overview of Specific Considerations in Chronic Venous Disease and Iliofemoral Venous Stenting

Surgical Atrial Septal Patch Endocarditis in a Patient with a Complete Corrected Atrioventricular Canal Defect: A Case Report and Review of the Literature

Disease-Specific Quality of Life among Patients with Peripheral Artery Disease in Hungary

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