Informace o publikaci

Včasné provedení PTA u diabetiků s defekty na nohou

Autoři

HOFÍREK Ivo KONEČNÁ Jana VOJTÍŠEK Bohuslav STAFFA Robert ŠÁRNÍK Stanislav SOCHOR Ondřej ROTNÁGL Josef

Rok publikování 2010
Druh Další prezentace na konferencích
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Popis Aim: Compared to patiens with diabetic angiopathy by the time the implementation of endovascular interventions. Metod: 59 patients with diabetes II. type with affected tibial arteries with 1 stable defect in the legs (region MTP) or toes. Group A, 33 patients with duration of the defect on average 14 +- 2 weeks, and group B, 26 patients with defects existing 6 +- 1 week. Patiens were performed PTA on tibial arteries with stenosis. The average carried 4.2 +-1.6 dilation on 1,9 +- 0,9 arteries. Patients with closures arteries were not included in the file. Patiens had sustained dual antiplatelet therapy (ASA 100 mg / day and clopidogrel 75 mg /day or ticlopidine 400 mg / day). Results: 9-12 months after PTA were cured or diminished (> 75%) defects in 13 patients (39%) group A and in 19 patients (73%) in Group B, (p< 0.05). Virtual flow in the distal parts of the tibial arteries after PTA in both groups improved similarly increased by about averages 19.5 +- 8.9 ml / min (n.s.) Peripheral vascular reactivity appeared to trend towards improvement in group B, otherwise the groups did not differ. Group A vs. Group B 29.9 +-19.1 v. 49.1 + -19.5 PU (p< 0.05) HbA 1c in the PTA group did not differ and amounted to 8.1 +- 2.2%. After 9 to 12 months the values were in group A 8.0 + -1,9% and in group B 7.8 + -1,5% (ns). In 5 patients in Group A were within 6 months after the intervention for the deterioration and the development of other defects on the leg performed surgical revascularisation procedures. Conclusion: Earlier implementation of PTA, group B, at the same podology care had higher probability of healing defects.

Používáte starou verzi internetového prohlížeče. Doporučujeme aktualizovat Váš prohlížeč na nejnovější verzi.

Další info