Desfechos da revascularização endovascular em pacientes com doença arterial obstrutiva periférica: relação com a diabetes mellitus

Abstract

Peripheral Arterial Occlusive Disease (PAOD) is a condition caused by atherosclerosis, primarily affecting elderly and diabetic individuals, with diabetes mellitus (DM) being a significant risk factor. Therefore, the aim of this study is to assess the influence of Diabetes Mellitus on the outcomes of endovascular revascularization, aiming to compare the complication rates between diabetic and non-diabetic patients. The study consists of a retrospective cohort of 352 patients who underwent percutaneous transluminal endovascular revascularization of the lower limbs at the Hospital de Clínicas de Passo Fundo between January 2019 and December 2021. Data collection was carried out at the Hospital de Clínicas de Passo Fundo, based on the patients' medical records. For the analysis, clinical and epidemiological variables of the patients were considered, as well as the outcomes after the procedure, collected from the patients' records. Most of the patients were men (61,9%), hypertensive (78,1%), and diabetic (66,5%). The results indicated that the presence of DM is associated with a higher risk of severe complications, such as amputations and acute myocardial infarction (AMI). Among the patients with DM, 45,7% required amputations, compared to 24,6% of the non-diabetic patients, and 7,3% had AMI, compared to 1,7% non-diabetic patients. This reinforces the importance of strict DM control in patients with PAOD undergoing revascularization, as the presence of this condition significantly increases the risk of severe complications. However, the study has limitations related to the use of secondary data and potential gaps in medical records.