Endovascular treatment of diabetic peripheral arterial disease in older and oldest old patients: a retrospective study

Cristina Gatti, Sara Cecchini, Paolo Fabbietti, Fabio Romagnoli, Stefano Ricci

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Peripheral arterial disease (PAD) is frequent among older diabetic patients, but the evidence about endovascular revascularization is very limited. Method: We retrospectively analyzed data collected from 120 diabetic patients consecutively admitted to a Diabetic Foot Clinic, including 64 patients aged 65–79 years and 56 patients aged 80 or more. Results: Percutaneous transluminal angioplasty (PTA) was followed by technical success in 82.5% of older patients and 62.5% of oldest old ones (p = 0.05). No significant difference was observed in regards to complete re-epithelization (76.6 vs 76.8%, p = 0.820), recurrent stenosis (26.6 vs 19.6%, p = 0.371), intra- or post-procedure complications (21.9 vs 10.7%, p = 0.102), and amputations (12.5 vs 5.4%, p = 0.176). Discussion: Our findings suggest that older and oldest old patients with diabetic foot and critical ischemia could be effectively and safely treated with PTA.

Original languageEnglish
Pages (from-to)1-3
Number of pages3
JournalAging clinical and experimental research
DOIs
Publication statusE-pub ahead of print - Jun 3 2017

Keywords

  • Amputations
  • Complete re-epithelization
  • Endovascular revascularization
  • Percutaneous transluminal angioplasty
  • Peripheral arterial disease
  • Recurrent stenosis

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology

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