Five-year results of iliac and femoropopliteal angioplasty in diabetic patients.
Results of 127 iliac and femoropopliteal transluminal angioplasties in 97 diabetic patients are presented. Patients who had undergone iliac (n = 70), femoral (n = 41), and popliteal (n = 16) angioplasties for stenoses up to 15 cm long were followed up for 6-60 months. In diabetic patients presenting with only claudication or adequate runoff, the 5-year iliac patency rate was 76% and the femoral patency rate was 60%; these results were comparable with those found in nondiabetic patients. For limb salvage, 3-year patency rates were 66% for iliac, 37% for femoral, and 37% for popliteal angioplasties, and 5-year patency rates were 29% for iliac, 7% for femoral, and 0% for popliteal angioplasties. Severe peripheral ischemia, poor runoff, and diffuse stenoses all had negative effects on angioplasty results.
Stokes
K R
KR
Department of Diagnostic Radiology, New England Deaconess Hospital, Boston, MA 02215.
Strunk
H M
HM
Campbell
D R
DR
Gibbons
G W
GW
Wheeler
H G
HG
Clouse
M E
ME
D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects; D001157:Arterial Occlusive Diseases / Q000473:pathology / Q000628:therapy*; D003925:Diabetic Angiopathies / Q000473:pathology / Q000628:therapy*; D005263:Femoral Artery / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000473:pathology; D008875:Middle Aged; D011150:Popliteal Artery / Q000473:pathology; D014654:Vascular Patency