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

Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Naples, Italy

Giovanni Leccia

Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Naples, Italy

Fulvio Faccenda

Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Naples, Italy

Biagio De Simone

Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Naples, Italy

Luciano Carbone

Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Naples, Italy

Paolo Pauciullo

Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Naples, Italy

Olga Vaccaro

Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Naples, Italy

Mario Mancini

Institute of Internal Medicine and Metabolic Diseases, 2nd Medical School, University of Naples, Naples, Italy

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 <.002) flow-reducing obstructions (lumen reduc tion > 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.

Angiology, Vol. 42, No. 4, 296-301 (1991)
DOI: 10.1177/000331979104200406


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