Comparison of Angiographic Characteristics of Peripheral Arterial Disease between Diabetic and Non-Diabetics

Abstract

Background and Aim: Several factors contribute to the poor outcomes of peripheral arterial disease (PAD). The current study examined the results of peripheral transluminal angioplasty (PTA) in diabetics and non-diabetics with peripheral arterial disease (PAD). Patients and Methods: This cross-sectional study was carried out on 136 peripheral arteries disease patients including 84 non-diabetic and 52 diabetics in the department of Cardiology, Hayatabad Medical Complex, Peshawar during the period from January 2022 to June 2022. This study included patients with PADs who had PTAs performed on their femoral, iliac, infrapopliteal, and popliteal arteries. Study protocol was approved by the research and ethical committee. Patient’s demographic details and medical history were recorded. SPSS version 26 was used for data analysis. Results: The overall mean age was 64.6 ± 10.51 years. Diabetic patients were compared with non-diabetic patients in terms of age (63.8±11.2 versus 65.4± 9.82 years), smoking history (80.7% vs. 46.4%), hypercholesterolemia (25.4% versus 31.9%), and ischemic heart disease (40.6% versus 36.5%). The frequency of hypertensive patients was higher 64.8% in diabetic patients against 40.6% in non-diabetic patients. In terms of arterial segment below the knee and profunda femoris, arterial disease had higher severity in diabetic patients. Diabetic patients were more susceptible to amputation (43.2% vs. 12%, OR=4.8, P=0.001) and had higher mortality (48.9% versus 23.8%). Conclusion: The present study found that higher prevalence of limb ischemia, amputation, and higher rates of restenosis following peripheral transluminal angioplasty was found in diabetic patients compared to non-diabetic patients. Diabetic patients had poor prognosis and worse arterial disease than non-diabetic patients. Keywords: Diabetic patients, Angiographic characteristics, Peripheral arteries disease.

A Comparison Between Transurethral Cystolithoclasty and Vesicolithotomy in Pediatric Male Patients

“…I n o u r s t u d y c o m p l i c a t i o n r a t e a f t e r ureteroscopic cystolithoclasty was 5(10%) with complications of urethral injury (2%), retention of urine (4%) and urinary tract infection (4%). Urethral injury of 5% was reported by sami [9] ullah in their studies and retention of urine (1%) is mentioned by Ali Sher Khosa and [18] colleagues , which is comparable with our study.…”

“…Various studies showed that family history and restriction of dietary calcium increases the risk [8] of stone formation .It was noted that stone formation in pediatric male patients is due to nutritional deficiencies of vitamin A, magnesium, phosphate and vitamin B along with low protein, high carbohydrate diet intake and dehydration. Metabolic factors and some genitourinary anomalies also promote urinary stasis hence increase risk of calculus formation [9,10] . He operated a three years old child with a stone size of hen's egg.…”

“…[17] [9] by Ahmed Turki Obaid , Sami ullah has observed 1(5%) fever in adult patients of open vesicolithotomy. Another study reported that retention of urine 18 (15.9%) in patients of endemic bladder stone treated with open [16] vesicolithotomy .…”