HOFÍREK, Ivo, Jana KONEČNÁ, Bohuslav VOJTÍŠEK, Robert STAFFA, Stanislav ŠÁRNÍK, Ondřej SOCHOR and Josef ROTNÁGL. Včasné provedení PTA u diabetiků s defekty na nohou (Timely Implementation of PTA in Diabetic Patients with Defects in the Leg). In XXXV. Angiologické dny 2010 s mezinárodní účastí, Praha. 2010.
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Basic information
Original name Včasné provedení PTA u diabetiků s defekty na nohou
Name (in English) Timely Implementation of PTA in Diabetic Patients with Defects in the Leg
Authors HOFÍREK, Ivo, Jana KONEČNÁ, Bohuslav VOJTÍŠEK, Robert STAFFA, Stanislav ŠÁRNÍK, Ondřej SOCHOR and Josef ROTNÁGL.
Edition XXXV. Angiologické dny 2010 s mezinárodní účastí, Praha, 2010.
Other information
Original language Czech
Type of outcome Presentations at conferences
Field of Study 30200 3.2 Clinical medicine
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Organization unit Faculty of Medicine
Changed by Changed by: MUDr. Tomáš Novotný, Ph.D., učo 23163. Changed: 20/1/2011 21:31.
Abstract
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.
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