Peripheral Arterial Disease and Chronic Kidney Disease

Bosevski, Marijan

doi:10.1515/prilozi-2017-0019

Cited by 13 publications

(13 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Male predominance was also encountered in a previous similar study by Das et al which reported that out of 60 patients examined for diabetic lower limbs arterial disease, 60% were male and 40% were female. 10,11 Higher incidence of diabetic foot lesion is found in males is attributed to smoking, trauma, and unhygienic habits. As males are the breadwinners of the family and are mostly working out door, which makes them more vulnerable for trauma and sequelae.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of Ultrasound Compared to MRI in Evaluation of Rotator Cuff Tears

Malik¹,

Sen²,

G³

et al. 2020

IJCMSR

View full text Add to dashboard Cite

How to cite this article: S. Fareed Ul Hameed, S. Habeeb Mohammed, P. Karuppasamy. Evaluation of peripheral lower limb insufficiency among patients with diabetes mellitus using doppler ultrasound -an prospective study. International Journal of Contemporary Medicine Surgery and Radiology. 2020;5(1):A1-A5. Results: The most common artery involvement was found to be dorsapaedalis artery in 26% of the cases followed by proximal femoral and distal femoral in 18% of the cases whereas there were 12% cases with popliteal artery and distal artery branches involvement. The most common site of lesion involved was proximal femoral artery and dorsapaedalis artery seen in 26% of the cases (both) whereas distal femoral artery (DFA) was found in 10% of the cases, poplitial artery (PA) in 18% of the cases followed by posterior tibial artery (PTA) and anterior tibial artery (ATA) in 8% and 12% of the cases respectively. Conclusion: Peripheral vascular insufficiency was a significant finding in patients having diabetes for 1-10 years. The dorsalispaedis artery was the commonest site of involvement. The normal Doppler study virtually rules out a haemodynamically significant lesion and helps to prevent unnecessary intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Accuracy of Ultrasound Compared to MRI in Evaluation of Rotator Cuff Tears

Malik¹,

Sen²,

G³

et al. 2020

IJCMSR

View full text Add to dashboard Cite

show abstract

“…This study shows that the prevalence of LEAD is high among adults with T2DM but there is no statistically significant difference in the prevalence of LEAD between those with T2DM and the control group (P-value ═ 0.44). The high prevalence of LEAD among adults with T2DM is likely due to the atherosclerosis associated with DM [36]. The presence of other recognized risk factors for LEAD like dyslipidaemia [13] and central obesity [15] in the T2DM participants could have equally contributed to the high prevalence of LEAD among them in this study.…”

Section: Discussionmentioning

confidence: 71%

Prevalence and Predictors of Lower Extremity Peripheral Artery Disease among Adults with Type 2 Diabetes Mellitus Attending a Tertiary Hospital in Owerri, Nigeria

Chinedu

Anyanwu

Nwatu

et al. 2019

View full text Add to dashboard Cite

Background: Lower extremity peripheral artery disease [LEAD] is common among patients with Diabetes mellitus (DM) and is under-diagnosed and under-treated. Early diagnosis and treatment will prevent associated cardiovascular events, minimize long term disability and improve quality of life. There is paucity of data on LEAD in Owerri and Southeastern Nigeria in general. Study Objectives: To determine the prevalence and predictors of LEAD among adults with type 2 diabetes mellitus (T2DM). Study Design: Cross-sectional analytical. Study Site: Endocrinology Clinic, Federal Medical Centre, Owerri, Nigeria. Methodology: Two hundred and seventy (270) T2DM patients and 135 non-diabetic controls were recruited consecutively between January and June, 2016. Questionnaires were used to collect relevant information, followed by focused physical examination and anthropometry. A portable Ankle Brachial Index (ABI) kit was used for measurement of ABI and participants with values < 0.9 were diagnosed as having LEAD. For participants with ABI ≥ 1.3, a toe pressure kit was used to measure their toe systolic pressure and those with toe brachial index (TBI) ≤ 0.7 were diagnosed as having LEAD. Fasting blood samples were also collected for assessment of glycated haemoglobin (HbA1c), fasting plasma glucose (FPG) and lipid profile. Data analysis was performed with SPSS version 22 and p-value < 0.05 was considered significant. Results: The mean ages of the T2DM and control participants were 59.8 ± 10.7 and 59.6 ± 12.3 years respectively (P = 0.89) while their mean ABIs were 0.97 ± 0.18 and 0.99 ± 0.16 respectively (P = 0.26). The prevalence of LEAD was 31.1% and 27.4% among T2DM and control participants respectively (P = 0.44) while among the T2DM participants that had LEAD, 57 (67.8%), 26 (31.0%) and 1 (1.2%) had mild, moderate and severe LEAD respectively. The only predictor of LEAD among T2DM participants was absent/reduced dorsalis pedis artery pulsation (AOR = 3.57, CI = 1.13 – 11.29, P = 0.03). Conclusions and Recommendations: There is a high prevalence of LEAD among adults with T2DM but this is not significantly higher than the prevalence among non-diabetic individuals. Regular screening of T2DM patients for LEAD should be encouraged. There is also need for regular palpation of dorsalis pedis artery among adults with T2DM to identify those with absent or reduced pulsation which may be an indication of the presence of LEAD.

show abstract

“…The same result was found in similar studies. 9,10 The group with thromboangiitis presented a low frequency of coronary lesions. In all patients with arterial disease, the most frequent were concomitant lesions on all three coronary arteries.…”

Section: Discussionmentioning

confidence: 99%

Plurivascular Lesions in Patients with Peripheral Arterial Disease

Kelemen

Kolbert

Szabó

et al. 2016

Journal of Interdisciplinary Medicine

View full text Add to dashboard Cite

Introduction: Occlusive arterial disease, regardless of etiology, is a progressive chronic disease with multiple vessel involvement. The importance of obstructive arterial disease is that it leads to an increased mortality and morbidity of other cardiovascular disorders. Therefore, the presence of a lesion on a certain artery should lead to the identification of other lesions on the carotid and coronary arteries. The aim of the study was to assess the frequency and severity of lesions in peripheral arterial disease of different etiologies, and also to study its association with multivessel lesions at the level of the coronary tree and the carotid arteries. Material and methods:We performed a retrospective study on 177 patients with previously diagnosed peripheral artery disease that were admitted to the 2 nd Medical Clinic of the County Emergency Clinical Hospital of Tîrgu Mureș. The patients underwent evaluation of the peripheral artery disease (clinical, arterial Doppler), as well as of the coronary artery disease (clinical, ECG) and the carotid arteries (auscultation, Doppler Duplex ultrasound). The study population was divided into three groups: group 1 -diabetic arteriopathy (n = 79); group 2 -atherosclerotic obstructive arteriopathy (n = 77); group 3 -thromboangiitis obliterans (n = 21). Results: The patients' age ranged between 61 and 70 years. Arterial occlusions were found in 87% of cases in group 1. Suboclussions were more frequent in diabetics (11.4%). The artery, in which we found lesions in the highest percentage was the left femoral artery (group 1 -68.3%, group 2 -66.23%, group 3 -42.85%). The second most often affected artery was the right femoral artery, with a 64.45% rate of involvement. In patients with thromboangiitis obliterans, the right anterior tibial artery was the most frequently affected (15.81%). The most frequent coronary lesion was a stenosis of 30-69%, in 35.02% of cases. Three-vessel coronary disease had an incidence of 44.2% in the atherosclerotic group, 34.2% in diabetics, and 23.8% in the thromboangiitis group. From the total rate of previously diagnosed myocardial infarction (MI) -29.37% (n = 52), 50% were atherosclerotic, 44.23% diabetic, and 5.76% with thromboangiitis. At the level of the carotid system, 68.9% of patients were found to have stenoses under 70%. From these, 48.4% were patients with diabetic arteriopathy, 44.3% with atherosclerotic disease. In 73.4% of cases, we found lesions at all three levels -in case of diabetic and nondiabetic arteriopathy and thromboangiitis, only 14.3% of patients had associated lesions. Conclusions: Atherosclerosis (diabetic and nondiabetic) and thromboangiitis obliterans are diseases with plurivascular involvement. It is important to diagnose concomitant coronary and carotid lesions in patients with chronic occlusive arterial illness, because they are often associated.

show abstract

Peripheral Arterial Disease and Chronic Kidney Disease

Cited by 13 publications

References 22 publications

Accuracy of Ultrasound Compared to MRI in Evaluation of Rotator Cuff Tears

Accuracy of Ultrasound Compared to MRI in Evaluation of Rotator Cuff Tears

Prevalence and Predictors of Lower Extremity Peripheral Artery Disease among Adults with Type 2 Diabetes Mellitus Attending a Tertiary Hospital in Owerri, Nigeria

Plurivascular Lesions in Patients with Peripheral Arterial Disease

Contact Info

Product

Resources

About