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Angiographic distribution of lower extremity atherosclerosis in patients with and without diabetes
Author(s) -
Van Der Feen C.,
Neijens F. S.,
Kanters S. D. J. M.,
Mali W. P. Th. M.,
Stolk R. P.,
Banga J. D.
Publication year - 2002
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1046/j.1464-5491.2002.00642.x
Subject(s) - medicine , diabetes mellitus , gangrene , intermittent claudication , claudication , surgery , popliteal artery , angiography , cardiology , abdominal aorta , lower limb , vascular disease , aorta , arterial disease , endocrinology
Aims To determine differences in the anatomic site of atherosclerosis in the lower extremity between patients with and patients without diabetes. Design Cross‐sectional study of patients who underwent angiography of both legs because of symptoms of intermittent claudication, rest and/or night pain, ulceration or gangrene. Methods The angiographies of 37 patients with diabetes and 37 patients without diabetes, matched for age, sex and smoking behaviour, were evaluated using the Bollinger scoring system. Results The mean ( sd ) Bollinger score in the upper leg (from the abdominal aorta to and including the superficial femoral artery) was higher ( P = 0.01) for patients without diabetes (35.3 (22.8)) than for patients with diabetes (23.3 (16.1)). In the lower leg (from the popliteal artery to the posterior tibial artery) patients with diabetes tended to have a higher score than patients without diabetes: 47.4 (34.2) and 37.6 (32.9), respectively ( P = 0.22). Conclusion This angiographic study confirms the clinical notion that lower limb atherosclerosis in diabetes is more severe in distal segments of the lower extremity, while the proximal segments remain less attenuated compared with patients without diabetes. Diabet. Med. 19, 366–370 (2002)