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Atif Mohammad, MD Research Fellow VA North Texas Health Care System UT Southwestern Medical Center

Angiographic Features of Atherosclerotic Superficial Femoral Artery Disease in Diabetics and Non-diabetics Presenting with Claudication. Atif Mohammad, MD Research Fellow VA North Texas Health Care System UT Southwestern Medical Center Dallas,TX. On behalf of the investigators:.

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Atif Mohammad, MD Research Fellow VA North Texas Health Care System UT Southwestern Medical Center

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  1. Angiographic Features of Atherosclerotic Superficial Femoral Artery Disease in Diabetics and Non-diabetics Presenting with Claudication Atif Mohammad, MD Research Fellow VA North Texas Health Care System UT Southwestern Medical Center Dallas,TX On behalf of the investigators:

  2. INVESTIGATORS • Atif Mohammad, MD*† • Avantika Banerjee* • Omar Hadidi, MD† • Gene Pershwitz, MD* • Mirza Baig, MD*† • Emmanouil S. Brilakis, MD, PhD*† *VA North Texas Health Care System, Dallas, TX; †University of Texas Southwestern Medical Center, Dallas, TX; Acknowledgements: Dallas VA Research Corporation

  3. BACKGROUND & METHOD • Though clinical outcomes following percutaneous revascularization of superficial femoral artery (SFA) varies between diabetics (DM) and non-diabetics, angiographic differences of their SFA disease has never been systemically analyzed • We conducted blinded angiographic analysis of peripheral angiograms in 117 consecutive patients (79 DM and 38 non-DM) between January 2009 - January 2011, presenting to Veterans Affairs Haelth Care System (Veterans Integrated Service Network or VISN 17) with Rutherford category 3 claudication

  4. METHOD: ANGIOGRAPHIC ANALYSIS

  5. BOLLINGER SCORE

  6. RESULTS: Mean Bollinger Scores p=0.03 Non-DM DM

  7. RESULTS: SFA: superficial femoral artery

  8. RESULTS: Angiographic Distribution of SFA in Diabetics & Non-Diabetics n=78 n=39 SFA: superficial femoral artery

  9. RESULTS: Lesion Flow & Stenosis Characteristics in Diabetics & Non-Diabetics

  10. RESULTS: Lesion Characteristics & Revascularization in Diabetics & Non-Diabetics

  11. RESULTS: Procedural Complications & Outcomes in Diabetics & Non-Diabetics

  12. CONCLUSIONS: • These results indicate the greater severity of SFA disease in patients with diabetes mellitus, increased need for stenting & lower 12 month patency • Our findings also indicate to the need for dedicated strategies for improving outcomes in diabetics with peripheral arterial disease undergoing endovascular revascularization procedures for life-style limiting claudication SFA: superficial femoral artery

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