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FINE-NEEDLE ANGIOGRAPHY IN CHRONIC LIMB-THREATENING ISCHEMIA DIABETIC PATIENTS

Sergii N Didenko1, Andrii V Ratushniuk2, Oleksandr V Liksunov2

  • 1CLINICAL HOSPITAL «FEOFANIYA» STATE ADMINISTRATIVE DEPARTMENT, KYIV, UKRAINE.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|January 2, 2023
PubMed

Insights

Fine-needle angiography effectively diagnoses Chronic Limb-Threatening Ischemia (CLTI) in diabetic patients. This method significantly reduces contrast dye usage and lowers hemorrhagic event frequency compared to traditional angiography.

Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Diabetology

Background:

  • Chronic Limb-Threatening Ischemia (CLTI) poses a significant risk of amputation in diabetic patients.
  • Accurate diagnosis is crucial for effective treatment planning in CLTI.
  • Traditional angiography methods may involve risks and high contrast agent volumes.

Purpose of the Study:

  • To evaluate the features and efficiency of fine-needle angiography for diagnosing CLTI in diabetic patients.
  • To compare the outcomes of fine-needle angiography with standard femoral sheath angiography.

Main Methods:

  • A retrospective study of 180 diabetic patients with CLTI (Rutherford category 4-6) from 2015-2020.
  • Ultrasound-guided fine-needle angiography via retrograde superficial femoral artery puncture in 96 patients.
  • Antegrade angiography using a femoral sheath in 84 patients.

Main Results:

  • Fine-needle angiography achieved adequate visualization of below-the-knee vessels using significantly less contrast agent (2.16 times reduction).
  • The frequency of hemorrhagic events was significantly lower in the fine-needle angiography group.
  • Careful evaluation of contraindications and amputation risks was performed.

Conclusions:

  • Fine-needle angiography is a safe and effective diagnostic tool for CLTI in diabetic patients.
  • This technique offers reduced contrast volume and lower complication rates.
  • It is recommended for the diagnosis of CLTI in this patient population.
Abstract

Keywords:
antiplatelet therapy intolerancearterial hypertensionheart failureimpaired renal functionmyocardial infarction (MI)

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