Peripheral angioplasty as the first-choice revascularization procedure in diabetic patients with critical limb ischemia: Prospective study of 993 consecutive patients hospitalized and followed between 1999 and 2003

Ezio Faglia, L. Dalla Paola, G. Clerici, J. Clerissi, L. Graziani, M. Fusaro, L. Gabrielli, S. Losa, A. Stella, M. Gargiulo, M. Mantero, M. Caminiti, S. Ninkovic, V. Curci, A. Morabito

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Abstract

Objecitve. To evaluate the effectiveness of peripheral angioplasty (PTA) as the first-choice revascularisation procedure in diabetic patients with critical limb ischemia (CLI). Design. Prospective study. Methods. PTA was employed as first choice revascularisation in a consecutive series of diabetic patients hospitalized for CLI between January 1999 and December 2003. Results. PTA was successful performed in 993 patients. Seventeen (1.7%) major amputations were carried out. One death and 33 non-fatal complications were observed. Mean follow-up was 26±15 months. Clinical restenosis was observed in 87 patients. The 5 years primary patency was 88%, 95% CI 86-91%. During follow-up 119 (12.0%) patients died at a rate of 6.7% per year. Conclusions. PTA as the first choice revascularisation procedure is feasible, safe and effective for limb salvage in a high percentage of diabetic patients. Clinical restenosis was an infrequent event and PTA could successfully be repeated in most cases.

Original languageEnglish
Pages (from-to)620-627
Number of pages8
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume29
Issue number6
DOIs
Publication statusPublished - Jun 2005

Keywords

  • Clinical restenosis
  • Critical limb ischemia
  • Diabetic foot
  • Limb salvage
  • Peripheral angioplasty
  • Peripheral occlusive disease
  • Survival

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

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