Objective In this study, clinical outcomes and coronary artery disease in patients diagnosed with peripheral occlusive artery disease who were scheduled to have an endovascular intervention procedure were investigated.Sakarya Med J, 2018, 8(2):266-271 )
Materials and Methods114 peripheral artery disease patients who were planned to undergo an endovascular intervention due to stenosis of 70% or more in any one of lower limb arteries between January 2013 and August 2017 and underwent coronary artery angiography at the same time were included in this study. Patients were divided into three groups according to the degree of the stenosis in their coronary arteries. Group 1: patients without CAD or having <40% of stenosis, Group 2: patients having equal or more than 40% but less than 70% of stenosis, Group 3: patients with ≥70% of stenosis. The groups were retrospectively compared in terms of age, gender, lipid profi les (total cholesterol, LDL, HDL, and triglyceride), other diseases (hypertension, diabetes mellitus, and chronic obstructive pulmonary disease), lower extremity amputation, and mortality.
ResultsThe mean age was 66.56 ± 11.65. 100 of the cases (87.7%) were male. Eight of the cases (7.0%) had coronary artery disease with a stenosis of 40-70%, and 75 patients (65.8%) had signifi cant coronary artery disease with stenosis of 70% and above. 61 (53.5%) of the cases had hypertension, 31 (27.2%) had diabetes mellitus, 78 (68.4%) cases had dyslipidemia, and 10 (8.8%) cases had chronic obstructive pulmonary disease. The mortality rate was 17.5% (20 patients) in patients who could be followed up for one year. The mean age of group 1 was statistically signifi cantly lower than the other two groups. No signifi cant difference was found between the groups in terms of other clinical outcomes.Conclusion Because of the high incidence of coronary artery disease in patients with peripheral occlusive artery disease, it is important to screen these patients via routine coronary artery angiography to decrease cardiovascular mortality and morbidity. Keywords Peripheral artery disease; coronary artery disease; coronary artery angiography Öz Amaç Bu çalışmada, endovasküler girişim planlanan periferik tıkayıcı arter hastalığı teşhisi konulan hastalarda koroner arter hastalığı ve klinik sonuçları incelendi. ( Sakarya Tıp Dergisi, 2018, 8(2):266-271 ). Gereç ve Yöntem Ocak 2013 ile Ağustos 2017 tarihleri arasında alt ekstremite arterlerinin herhangi birisinde %70 ya da daha fazla stenoz nedeniyle endovasküler girişim planlanan ve aynı zamanda koroner anjiografi si yapılan 114 periferik arter hastalığı olgusu çalışmaya dahil edilmiştir. Hastalar koroner arter stenoz derecesine göre üç gruba ayrıldı. Grup 1: Koroner arter stenozu olmayanlar veya <%40 stenozis olanlar, Grup 2: ≥ 40% ve <70% stenozis olanlar, Grup 3: ≥70% stenozis olanlar. Gruplar yaş, cinsiyet, lipit profi lleri (total kolesterol, LDL,HDL, trigliserit), ek hastalıklar (hipertansiyon, diabetes mellitus, kronik obstruktif akciğer hastalığı), alt ekstremite amputasyonu v...