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Small artery disease as a predictor of wound healing in patients with diabetic foot after revascularization

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F25%3A00085696" target="_blank" >RIV/00023001:_____/25:00085696 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11130/25:10496057

  • Result on the web

    <a href="https://journals.sagepub.com/doi/10.1177/15347346251323938" target="_blank" >https://journals.sagepub.com/doi/10.1177/15347346251323938</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1177/15347346251323938" target="_blank" >10.1177/15347346251323938</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Small artery disease as a predictor of wound healing in patients with diabetic foot after revascularization

  • Original language description

    The aim of study was to confirm the hypothesis that advanced medial arterial calcification (MAC)/ small artery disease (SAD), much like the progression of peripheral arterial disease (PAD) stages can adversely impact the outcomes in DFU patients, even after successful endovascular procedures. In retrospective study, we enrolled 54 patients with DFUs who underwent percutaneous transluminal angioplasty (PTA). MAC was quantified using a three-level scoring system based on radiographs. Patients were categorized based on their MAC score into three groups. Study groups were compared in terms of primary DFU outcomes (healing, amputations) and secondary DFU outcomes (mortality, changes in transcutaneous oxygen pressure (TcPO2)) three and six months after PTA. The MAC/SAD score increased significantly with age (p = 0.014). The MAC/SAD score was&apos;t associated with the risk of amputation or the healing of DFUs up to three months after revascularization. However, a significant association was observed after six months (p = 0.043). The MAC/SAD score correlated significantly with severity of PAD, as classified by the Global Limb Anatomic Staging System (p = 0.042) and the Graziani system (p = 0.019). We found a negative correlation between the MAC/SAD score and absolute levels of TcPO2 after PTA. MAC/SAD score was significantly associated with long-term unhealed DFUs and the risk of lower limb amputations.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30202 - Endocrinology and metabolism (including diabetes, hormones)

Result continuities

  • Project

    Result was created during the realization of more than one project. More information in the Projects tab.

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    International journal of lower extremity wounds

  • ISSN

    1534-7346

  • e-ISSN

    1552-6941

  • Volume of the periodical

    24

  • Issue of the periodical within the volume

    3

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    9

  • Pages from-to

    621-629

  • UT code for WoS article

    001444482500001

  • EID of the result in the Scopus database

    2-s2.0-105000113998