Angiographic Features of Atherosclerotic Superficial Femoral Artery Disease in Diabetics and...

Angiographic Features of Angiographic Features of Atherosclerotic Atherosclerotic

Superficial Femoral Superficial Femoral Artery Disease in Artery Disease in

Diabetics and Non-Diabetics and Non-diabetics Presenting diabetics Presenting

with Claudicationwith Claudication

Atif Mohammad, MDResearch Fellow

VA North Texas Health Care System

UT Southwestern Medical Center

Dallas,TX

On behalf of the investigators:

INVESTIGATORSINVESTIGATORS

Atif Mohammad, MD*†

Avantika Banerjee*

Omar Hadidi, MD†

Gene Pershwitz, MD*

Mirza Baig, MD*†

Emmanouil S. Brilakis, MD, PhD*†

*VA North Texas Health Care System, Dallas, TX; †University of Texas Southwestern Medical Center, Dallas, TX; Acknowledgements: Dallas VA Research Corporation

BACKGROUND & METHODBACKGROUND & METHOD

Though clinical outcomes following percutaneous revascularization of superficial femoral artery (SFA) varies between diabetics (DM) and non-diabetics, angiographic differences of their SFA disease has never been systemically analyzed

We conducted blinded angiographic analysis of peripheral angiograms in 117 consecutive patients (79 DM and 38 non-DM) between January 2009 - January 2011, presenting to Veterans Affairs Haelth Care System (Veterans Integrated Service Network or VISN 17) with Rutherford category 3 claudication

METHOD: ANGIOGRAPHIC METHOD: ANGIOGRAPHIC ANALYSIS ANALYSIS

BOLLINGER SCOREBOLLINGER SCORE

RESULTS: Mean Bollinger RESULTS: Mean Bollinger ScoresScores

p=0.03

Non-DM DM

RESULTS:RESULTS:

SFA: superficial femoral artery

RESULTS: Angiographic Distribution RESULTS: Angiographic Distribution of SFA in Diabetics & Non-Diabeticsof SFA in Diabetics & Non-Diabetics

n=78

n=39

SFA: superficial femoral artery

RESULTS: Lesion Flow & Stenosis Characteristics RESULTS: Lesion Flow & Stenosis Characteristics in Diabetics & Non-Diabeticsin Diabetics & Non-Diabetics

RESULTS: Lesion Characteristics & RESULTS: Lesion Characteristics & Revascularization in Diabetics & Non-Revascularization in Diabetics & Non-DiabeticsDiabetics

RESULTS: Procedural RESULTS: Procedural Complications & Outcomes in Complications & Outcomes in Diabetics & Non-DiabeticsDiabetics & Non-Diabetics

CONCLUSIONS:CONCLUSIONS:These results indicate the greater

severity of SFA disease in patients with diabetes mellitus, increased need for stenting & lower 12 month patency

Our findings also indicate to the need for dedicated strategies for improving outcomes in diabetics with peripheral arterial disease undergoing endovascular revascularization procedures for life-style limiting claudication

SFA: superficial femoral artery