OBJECTIVE: To analyze the technical success rate and short-term clinical results of percutaneous transluminal angioplasty (PTA) in treatment of lower limb peripheral arterial disease (PAD) in diabetes mellitus (DM) patients. METHODS: 150 consecutive DM patients PAD (176 limbs) with Fontaine degree I - IV were treated with PTA and followed up for 5 months (1 - 16 months). The result with the residual stenosis < 30% was regarded as success. RESULTS: Totally 187 PTA procedures were performed in 150 patients (176 limbs) with a technical success rate of 91.4% (161/176)). No serious complication occurred. The clinical symptoms of all patients improved after successful PTA. The median ankle-brachial index (ABI) marginally increased from the baseline value of 0.34 +/- 0.27 to 0.96 +/- 0.24 after intervention. The ABI levels 1 month and 6 months after PTA were 0.88 +/- 0.34 and 0.71 +/- 0.26 respectively. The cumulative restenosis rate was 13.7%, and the reintervention rate was 7.2%. CONCLUSION: With high success rate, low complication rate, and sure curative effect, PTA can be performed as the first choice in treatment of the lower limb PAD in DM patients.
OBJECTIVE: To analyze the technical success rate and short-term clinical results of percutaneous transluminal angioplasty (PTA) in treatment of lower limb peripheral arterial disease (PAD) in diabetes mellitus (DM) patients. METHODS: 150 consecutive DMpatients PAD (176 limbs) with Fontaine degree I - IV were treated with PTA and followed up for 5 months (1 - 16 months). The result with the residual stenosis < 30% was regarded as success. RESULTS: Totally 187 PTA procedures were performed in 150 patients (176 limbs) with a technical success rate of 91.4% (161/176)). No serious complication occurred. The clinical symptoms of all patients improved after successful PTA. The median ankle-brachial index (ABI) marginally increased from the baseline value of 0.34 +/- 0.27 to 0.96 +/- 0.24 after intervention. The ABI levels 1 month and 6 months after PTA were 0.88 +/- 0.34 and 0.71 +/- 0.26 respectively. The cumulative restenosis rate was 13.7%, and the reintervention rate was 7.2%. CONCLUSION: With high success rate, low complication rate, and sure curative effect, PTA can be performed as the first choice in treatment of the lower limb PAD in DMpatients.