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Revista Cubana de Angiología y Cirugía Vascular
On-line version ISSN 1682-0037
Abstract
CLAVIJO RODRIGUEZ, Tania et al. Clinical ultrasound correlation of peripheral arterial disease of the lower limbs in type 2 diabetics. Rev Cubana Angiol Cir Vasc [online]. 2022, vol.23, n.1 Epub Apr 01, 2022. ISSN 1682-0037.
Introduction:
Peripheral arterial disease in diabetic atherosclerotic patients is usually underdiagnosed, since the majority of the affected population is asymptomatic.
Objective:
Correlate the clinical and ultrasonographic signs of peripheral arterial disease of the lower limbs in diabetic atherosclerotic patients.
Methods:
A descriptive and prospective study was conducted in a random sample of 209 diabetic patients with peripheral arterial disease, according to the Leriche-Fontaine classification. These underwent Doppler ultrasound. The statistical study was performed by applying the Kappa coefficient.
Results:
Peripheral arterial disease predominated in males aged 60 years and over. In 26.32% of the left lower limb in the posterior tibial, the absence of pulse was confirmed. According to the clinical picture, by Leriche-Fontaine classification, the highest incidence was found in stage IIb with 33.97%, followed by stage II with 20.54%; and by ultrasound classification there was a significant reduction in diameter in the left leg in distal arteries, with a Kappa coefficient of 0.927.
Conclusions:
There was a strong clinical ultrasound correlation regarding the degree of stenosis in peripheral arterial disease of the diabetic patients studied.
Keywords : arterial disease of the lower limbs; eco-Doppler; risk factors.