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[A diabetic patient with asymptomatic multiple arterial disease]
Zoltán Bényi1, György Nagy, Gábor Nyirati
1Bajai Szent Rókus Kórház II. Belgyógyászat Baja Rókus u. 10. 6500. benyi.zoltan@freemail.hu
This case study describes a 73-year-old woman with diabetes who was found to have multiple arterial stenoses, including subclavian and renal artery issues, despite having no symptoms. The patient's medical history revealed several risk factors, and angiography was used to identify and treat the subclavian artery blockage. The findings highlight the importance of comprehensive vascular screening in elderly diabetic patients. The authors suggest that asymptomatic arterial disease may be more common than previously recognized and recommend broader screening protocols. The case emphasizes the need for accurate risk assessment and multi-arterial evaluation in high-risk individuals.
Area of Science:
- Vascular medicine
- Diabetes management
- Interventional cardiology
Background:
Older individuals with diabetes often face multiple vascular complications. Established research has shown that diabetes increases the risk of arterial stenosis. However, the simultaneous presence of stenosis in multiple arterial regions remains underreported. Prior studies have focused on lower limb arteries, leaving gaps in understanding upper limb and renal artery involvement. No prior work had resolved how frequently these conditions coexist in diabetic patients. This uncertainty drove the need for case studies highlighting such patterns. The absence of symptoms in some patients complicates early detection. Screening protocols have not fully addressed this overlap in arterial disease. This gap motivated the presentation of a case with multiple arterial stenoses.
Purpose Of The Study:
The aim of this case report is to highlight the coexistence of multiple arterial stenoses in an elderly diabetic patient. It addresses the challenge of identifying asymptomatic arterial disease in high-risk individuals. The patient's age and diabetes status made her a candidate for comprehensive vascular screening. The presence of subclavian artery occlusion was unexpected but critical to diagnosis. The study emphasizes the value of angiography in detecting multi-arterial disease. It also underscores the importance of assessing all vascular regions in diabetic patients. The authors propose that such cases should prompt broader screening protocols. This case serves as a reminder of the complexity of vascular disease in diabetes.
Main Methods:
The patient underwent a clinical evaluation to determine the cause of suspected lower limb stenosis. Medical history revealed diabetes and multiple risk factors. Angiography was performed to assess arterial stenosis in the lower limbs. The procedure also identified subclavian artery occlusion. Additional imaging confirmed abnormalities in the renal arteries. Stenting was used to address the subclavian artery blockage. The patient's response to treatment was monitored post-procedure. The findings were analyzed to determine the relevance of multi-arterial screening.
Main Results:
Angiography revealed subclavian artery occlusion in addition to lower limb stenosis. The patient's renal arteries also showed abnormalities. Stenting successfully resolved the subclavian artery blockage. No symptoms were reported despite the presence of multiple stenoses. The patient's medical history included diabetes and other risk factors. The findings suggest that asymptomatic arterial disease is possible in diabetic patients. The case highlights the importance of comprehensive vascular screening. The results support the need for multi-arterial evaluation in high-risk individuals.
Conclusions:
The authors propose that multi-arterial screening is essential for elderly diabetic patients. The case suggests that asymptomatic stenosis can occur in multiple vascular regions. Accurate risk factor assessment is necessary for early detection. The findings support the use of angiography in diagnosing arterial disease. The patient's condition improved after stenting, indicating effective intervention. The authors emphasize the importance of thorough vascular evaluations. This case highlights the potential for undetected arterial disease in diabetic patients. The results suggest that screening protocols should include multiple arterial regions.
Frequently Asked Questions
The case study shows that an elderly diabetic patient had asymptomatic stenosis in multiple arteries, including subclavian and renal arteries.
Angiography revealed subclavian artery occlusion and abnormalities in the renal arteries, guiding treatment decisions.
Diabetic patients are at higher risk for arterial stenosis, and screening helps detect asymptomatic disease early.
Angiography-guided stenting was used to resolve the subclavian artery blockage.
The patient's condition improved after stenting, indicating successful intervention.
The authors suggest that screening protocols should include multiple arterial regions in high-risk patients.