Včasné provedení PTA u diabetiků s defekty na nohou

k 2010

Včasné provedení PTA u diabetiků s defekty na nohou

HOFÍREK, Ivo; Jana KONEČNÁ; Bohuslav VOJTÍŠEK; Robert STAFFA; Stanislav ŠÁRNÍK et al.

Základní údaje

Originální název

Včasné provedení PTA u diabetiků s defekty na nohou

Název anglicky

Timely Implementation of PTA in Diabetic Patients with Defects in the Leg

Autoři

HOFÍREK, Ivo; Jana KONEČNÁ; Bohuslav VOJTÍŠEK; Robert STAFFA; Stanislav ŠÁRNÍK; Ondřej SOCHOR a Josef ROTNÁGL

Vydání

XXXV. Angiologické dny 2010 s mezinárodní účastí, Praha, 2010

Další údaje

Jazyk

čeština

Typ výsledku

Prezentace na konferencích

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Organizační jednotka

Lékařská fakulta

Změněno: 20. 1. 2011 21:31, MUDr. Tomáš Novotný, Ph.D.

Anotace

V originále

Aim: Compared to patiens with diabetic angiopathy by the time the implementation of endovascular interventions. Metod: 59 patients with diabetes II. type with affected tibial arteries with 1 stable defect in the legs (region MTP) or toes. Group A, 33 patients with duration of the defect on average 14 +- 2 weeks, and group B, 26 patients with defects existing 6 +- 1 week. Patiens were performed PTA on tibial arteries with stenosis. The average carried 4.2 +-1.6 dilation on 1,9 +- 0,9 arteries. Patients with closures arteries were not included in the file. Patiens had sustained dual antiplatelet therapy (ASA 100 mg / day and clopidogrel 75 mg /day or ticlopidine 400 mg / day). Results: 9-12 months after PTA were cured or diminished (> 75%) defects in 13 patients (39%) group A and in 19 patients (73%) in Group B, (p< 0.05). Virtual flow in the distal parts of the tibial arteries after PTA in both groups improved similarly increased by about averages 19.5 +- 8.9 ml / min (n.s.) Peripheral vascular reactivity appeared to trend towards improvement in group B, otherwise the groups did not differ. Group A vs. Group B 29.9 +-19.1 v. 49.1 + -19.5 PU (p< 0.05) HbA 1c in the PTA group did not differ and amounted to 8.1 +- 2.2%. After 9 to 12 months the values were in group A 8.0 + -1,9% and in group B 7.8 + -1,5% (ns). In 5 patients in Group A were within 6 months after the intervention for the deterioration and the development of other defects on the leg performed surgical revascularisation procedures. Conclusion: Earlier implementation of PTA, group B, at the same podology care had higher probability of healing defects.

Citovat

HOFÍREK, Ivo; Jana KONEČNÁ; Bohuslav VOJTÍŠEK; Robert STAFFA; Stanislav ŠÁRNÍK; Ondřej SOCHOR a Josef ROTNÁGL. Včasné provedení PTA u diabetiků s defekty na nohou. In XXXV. Angiologické dny 2010 s mezinárodní účastí, Praha. 2010.

@proceedings{921234,
   author = {Hofírek, Ivo and Konečná, Jana and Vojtíšek, Bohuslav and Staffa, Robert and Šárník, Stanislav and Sochor, Ondřej and Rotnágl, Josef},
   booktitle = {XXXV. Angiologické dny 2010 s mezinárodní účastí, Praha},
   language = {cze},
   title = {Včasné provedení PTA u diabetiků s defekty na nohou},
   year = {2010}
}

TY  - CONF
ID  - 921234
AU  - Hofírek, Ivo - Konečná, Jana - Vojtíšek, Bohuslav - Staffa, Robert - Šárník, Stanislav - Sochor, Ondřej - Rotnágl, Josef
PY  - 2010
TI  - Včasné provedení PTA u diabetiků s defekty na nohou
N2  - Aim: Compared to patiens with diabetic angiopathy by the time the implementation of endovascular interventions. Metod: 59 patients with diabetes II. type with affected tibial arteries with 1 stable defect in the legs (region MTP) or toes. Group A, 33 patients with duration of the defect on average 14 +- 2 weeks, and group B, 26 patients with defects existing 6 +- 1 week. Patiens were performed PTA on tibial arteries with stenosis. The average carried 4.2 +-1.6 dilation on 1,9 +- 0,9 arteries. Patients with closures arteries were not included in the file. Patiens had sustained dual antiplatelet therapy (ASA 100 mg / day and clopidogrel 75 mg /day or ticlopidine 400 mg / day). Results: 9-12 months after PTA were cured or diminished (> 75%) defects in 13 patients (39%) group A and in 19 patients (73%) in Group B, (p< 0.05). Virtual flow in the distal parts of the tibial arteries after PTA in both groups improved similarly increased by about averages 19.5 +- 8.9 ml / min (n.s.) Peripheral vascular reactivity appeared to trend towards improvement in group B, otherwise the groups did not differ. Group A vs. Group B 29.9 +-19.1 v. 49.1 + -19.5 PU (p< 0.05) HbA 1c in the PTA group did not differ and amounted to 8.1 +- 2.2%. After 9 to 12 months the values were in group A 8.0 + -1,9% and in group B 7.8 + -1,5% (ns). In 5 patients in Group A were within 6 months after the intervention for the deterioration and the development of other defects on the leg performed surgical revascularisation procedures. Conclusion: Earlier implementation of PTA, group B, at the same podology care had higher probability of healing defects.
ER  -

HOFÍREK, Ivo; Jana KONEČNÁ; Bohuslav VOJTÍŠEK; Robert STAFFA; Stanislav ŠÁRNÍK; Ondřej SOCHOR a Josef ROTNÁGL. Včasné provedení PTA u diabetiků s defekty na nohou. In \textit{XXXV. Angiologické dny 2010 s mezinárodní účastí, Praha}. 2010.

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