Endovascular treatment of diabetic peripheral arterial disease in older and oldest old patients: a retrospective study
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Peripheral arterial disease (PAD) is frequent among older diabetic patients, but the evidence about endovascular revascularization is very limited.
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.
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).
Our findings suggest that older and oldest old patients with diabetic foot and critical ischemia could be effectively and safely treated with PTA.
KeywordsPeripheral arterial disease Endovascular revascularization Percutaneous transluminal angioplasty Complete re-epithelization Recurrent stenosis Amputations
Author contribution statement
CG, SC, and PF conceived the study, participated in design, coordination, and data collection and analysis, and drafted the manuscript. CG, SC, and PF participated in the design of the study and interpretation of data, and drafted the manuscript. SV, CR, FL, FR, and SR reviewed the manuscript for important intellectual content. All authors read and approved the final manuscript.
Compliance with ethical standards
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
For this type of study, ethics approval is not required.
Informed consent was obtained from all individual participants included in the study.
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