Aging Clinical and Experimental Research

, Volume 30, Issue 2, pp 205–207 | Cite as

Endovascular treatment of diabetic peripheral arterial disease in older and oldest old patients: a retrospective study

  • Cristina Gatti
  • Sara Cecchini
  • Paolo Fabbietti
  • Fabio Romagnoli
  • Stefano Ricci
Short Communication

Abstract

Background

Peripheral arterial disease (PAD) is frequent among older diabetic patients, but the evidence about endovascular revascularization is very limited.

Method

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.

Results

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).

Discussion

Our findings suggest that older and oldest old patients with diabetic foot and critical ischemia could be effectively and safely treated with PTA.

Keywords

Peripheral arterial disease Endovascular revascularization Percutaneous transluminal angioplasty Complete re-epithelization Recurrent stenosis Amputations 

Notes

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.

Ethical approval

For this type of study, ethics approval is not required.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Cristina Gatti
    • 1
  • Sara Cecchini
    • 2
  • Paolo Fabbietti
    • 3
  • Fabio Romagnoli
    • 1
  • Stefano Ricci
    • 2
  1. 1.Diabetic Foot ClinicsNational Institute of Health and Science on Aging (INRCA)AnconaItaly
  2. 2.Unit of RadiologyNational Institute of Health and Science on Aging (INRCA)AnconaItaly
  3. 3.Laboratory of Studies and Research in BiostatisticsNational Institute of Health and Science on Aging (INRCA)AnconaItaly

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