Characteristics of lower extremity arteriography in diabetic foot patients and its correlation with Wagner classification
Objective To explore the characteristics of lower extremity arteriography in patients with dia-betic foot(DF)and its relationship with the Wagner classification.Furthermore,this study aims to elucidate the distinctive features of lower extremity arterial diseases in DF patients and expand the clinical application of the Wagner classification.Methods A total of 210 hospitalized diabetic patients were enrolled between Janu-ary 2016 and October 2022 and divided into the non-DF group(NDF,46 cases)and the DF group(DF,164 ca-ses).The clinical data,laboratory examination results,and lower extremity arteriography data were collected.Results Compared to the NDF group,patients in the DF group were older,had higher rates of comorbidities such as hyperlipidemia,coronary heart disease,and diabetic nephropathy,and displayed higher levels of glycat-ed hemoglobin,triglycerides,and low-density lipoprotein.Moreover,the DF group exhibited higher rates of stenosis and occlusion in the lower extremity vessels(P＜0.05).Notably,the occlusion rate of the inferior genicular artery(32.52％)was significantly higher than that of the superior genicular arteries(3.93％),and the total cumulative rate of the inferior genicular arteries(54.27％)was markedly higher than that of the supe-rior genicular arteries(40.85％).When comparing the high-grade Wagner classification group with the low-grade group,the former had a higher occlusion rate in the inferior genicular arteries(P＜0.05).Conclusion The lower extremity vascular diseases in DF patients are mainly inferior genicular artery occlusion.The Wagner may serve as a predictive factor for lower extremity vascular occlusion.
type 2 diabetesdiabetic footlower extremity arteriography
万方数据
维普
