TİP II DİYABET TANILI PERİFERİK ARTER HASTALARINDA ENDOVASKÜLER REVASKÜLARİZASYON SONUÇLARI

Giriş: Tip 2 diabetes mellitus, periferik arter hastalığı için güçlü bir predispozan faktör ve aynı zamanda endovasküler revaskülarizasyon tedavisinin başarısı için önemli bir risk faktörüdür. Tip 2 diabetes mellituslu hastalarda endovasküler revaskülarizasyonda hasta seçimi çok önemlidir. Yöntemler: Tip 2 diabetes mellitus tanılı elli yedi hastaya endovasküler alt ekstremite revaskülarizasyonu uygulandı. Takip süresi 6 aydı ve sonuçlar işlem sonrası bir ve altı ayda iki kez kaydedildi.Hedef damar restenozu ile ilgili bağımsız faktörleri belirlemek için çok değişkenli analiz yapıldı. Bulgular: Çalışma grubunun yaş ortalaması 66,5 yaş olup hastaların %21,2'si kadındı. Sigara içme oranı %59,6 idi. On altı hastaya stent anjiyoplasti ve kırk bir hastaya balon anjiyoplasti uygulandı. 1 aylık ve 6 aylık hedef damar açıklık oranları sırasıyla %93 ve %64,9 bulundu. Çok değişkenli analiz, tip 2 diabetes mellituslu hastalarda endovasküler revaskülarizasyon sonuçları için sigara içmenin negatif bir gösterge olduğunu ve balon anjiyoplasti ve insülin bazlı tedavinin pozitif göstergeler olduğunu gösterdi. Sonuç: Endovasküler revaskülarizasyon, tip 2 diyabetli periferik arter hastalığı olan hastalar için umut verici bir seçenektir. Bununla birlikte, aktif olarak sigara içmek ve stent anjioplasti, endovasküler tedavi başarısı için risk faktörleridir ve insülin bazlı tedavi ve balon anjiyoplasti, daha iyi sonuçlarla ilişkilidir.

Anahtar Kelimeler:

Balon anjiyoplasti, Diabetes mellitus, Periferik Arter Hastalığı

ENDOVASCULAR REVASCULARIZATION OUTCOMES IN PERIPHERAL ARTERIAL DISEASE PATIENTS WITH TYPE-II DIABETES MELLITUS

Introduction: Type 2 diabetes mellitus is a strong predisposing factor for peripheral arterial disease, it is also a significant risk factor for endovascular revascularization treatment success. Patient selection is critical in endovascular revascularization for patients with type 2 diabetes mellitus. Methods: Fifty-seven patients with type 2 diabetes mellitus underwent endovascular lower limb revascularization. The follow-up time was 6 months and the outcomes were recorded two times in one and six months after the procedure. Multivariate analysis was run to determine independent factors that related to target vessel restenosis. Results: Mean age of the study cohort was 66.5 years and 21.2% of patients were female. The smoking rate was 59.6%. Sixteen patients underwent stent angioplasty and forty-one patients underwent balloon angioplasty. 1-month and 6-month patent target vessel rates were found 93% and 64.9% respectively. Multivariate analysis showed that smoking is a negative indicator, and balloon angioplasty and insulin- based therapy are positive indicators for endovascular revascularization outcomes in patients with type 2 diabetes mellitus. Conclusion: Endovascular revascularization is a promising option for peripheral arterial disease patients with type 2 diabetes. However, actively smoking and stenting may be risk factors for endovascular treatment success and insulin-based therapy and balloon angioplasty related to improved outcomes.

Keywords:

Balloon angioplasty, Diabetes mellitus, Peripheral Arterial Disease,

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