Diabetes Mellitus and Localizations of Obliterating Arterial Disease of the Lower Limbs

Thirty patients with intermittent claudication (IC) and treated diabetes melllitus and 30 age- and gender-matched nondiabetic claudicants underwent a vascular examination by noninvasive ultrasound methods (continuous-wave Doppler, duplex scanner). The ankle/arm systolic pressure index did not differ...

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Bibliographic Details
Published in:Angiology 1991-04, Vol.42 (4), p.296-301
Main Authors: Rubba, Paolo, Leccia, Giovanni, Faccenda, Fulvio, De Simone, Biagio, Carbone, Luciano, Pauciullo, Paolo, Vaccaro, Olga, Mancini, Mario
Format: Article
Language:English
Subjects:
Ankle - blood supply
Arm - blood supply
Arteriosclerosis Obliterans - diagnostic imaging
Associated diseases and complications
Biological and medical sciences
Blood Pressure
Diabetes Mellitus, Type 1 - complications
Diabetes. Impaired glucose tolerance
Diabetic Angiopathies - diagnostic imaging
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Humans
Intermittent Claudication - diagnostic imaging
Medical sciences
Middle Aged
Risk Factors
Ultrasonography
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Summary:Thirty patients with intermittent claudication (IC) and treated diabetes melllitus and 30 age- and gender-matched nondiabetic claudicants underwent a vascular examination by noninvasive ultrasound methods (continuous-wave Doppler, duplex scanner). The ankle/arm systolic pressure index did not differ in the two groups. Diabetic patients with IC had more (p < .001) non-flow-reducing stenoses (lumen reduction < 50%) and fewer (p 50 % ) of the iliac arteries than nondiabetics had. These data are consistent with a preferentially distal (below the inguinal ligament) localization of arterial stenoses in diabetic patients, whereas iliac artery diseases are relatively more severe in nondiabetics.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331979104200406