Peripheral Arterial Disease among Diabetic Patients in Dr. Hasan Sadikin General Hospital Bandung 2012

Azkiyah, Feriska Fairuz; Djajakusumah, Teguh Marfen; Ekowati, Ra. Retno

doi:10.15850/amj.v2n2.557

Cited by 1 publication

(3 citation statements)

References 14 publications

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“…Initially, atherosclerosis is happened, and then there is decrease blood flow to distal extremities [6]. appropriate treatment and multidisciplinary approach can improve the prognosis and prevent limb loss or amputation, which impact to quality of life [1], [2], [7].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Peripheral arterial disease (PAD) is defined as vascular disorder which peripheral artery's obstruction or constriction is found [1], [2]. Mostly, obstruction of blood supply in PAD is caused by atherosclerosis [1]. Clinical finding of PAD assorted from asymptomatic, weakness in the legs, foot ulcers, gangrene, and critical limb ischemia (CLI) [2], [3].…”

Section: Introductionmentioning

confidence: 99%

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Role of Doppler Ultrasound and Percutaneous Transluminal Angioplasty in Early Diagnosis and Management of Peripheral Artery Disease

Kantilaras

Widyatmoko

2022

Open Access Maced J Med Sci

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BACKGROUND: Peripheral arterial disease (PAD) denotes vascular disorder which peripheral artery’s obstruction or constriction is found. PAD with diabetic history is more susceptible to ischemic ulcer than PAD with no diabetic. The presence of Diabetes mellitus (DM) in PAD can speed up 4 times greater risk of developing Critical Limb Ischemia. In our hospital, difficulty performing extremity perfusion assessment is often found because those examinations are not available, so possibility of PAD can be missed. Therefore, optimalization use of Doppler Ultrasound (DUS) is important in our case. AIM: The purpose of our case writing is to give information about substantial parameter of DUS in determine presence of PAD and define the role of percutaneous transluminal angioplasty (PTA) in PAD. The earlier PAD discovered, faster further treatment conducted, especially PTA. CASE REPORT: A 65-year-old female patient with intermittent left calf pain for 7 months who went to internal medicine outpatient has reported. She has history of type 2 DM and significant hyperlipidemia. On physical examination, vital signs revealed normal value. Body mass index was 28 kg/m2. Resting ankle-brachial index (ABI) measurement was 1.14 and 1.12 at the right and left dorsalis pedis, respectively. DUS showed spectral narrow, reversal flow and no clear spectral window in superficial femoral artery. There are clear spectral window, spectral narrow, and reversal flow in poplitea artery. No clear spectral window, no spectral narrow, and no reversal flow in anterior tibia artery. Clear spectral window, reversal flow, and no spectral narrow are appear in posterior tibia artery. Arteriogram of left inferior extremity showed middle part partial stenosis of anterior tibia artery. Dilatation with standard balloon for 1 min was done. After that, no stenosis in same location and she wasn’t feel calf pain again. CONCLUSION: Compared with two other parameters, reversal flow in DUS is most important parameter to establish presence of stenosis. PTA is adequate to give revascularization stenosis in PAD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Role of Doppler Ultrasound and Percutaneous Transluminal Angioplasty in Early Diagnosis and Management of Peripheral Artery Disease

Kantilaras

Widyatmoko

2022

Open Access Maced J Med Sci

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Peripheral Arterial Disease among Diabetic Patients in Dr. Hasan Sadikin General Hospital Bandung 2012

Abstract: Background:As one of the most devastating complication in diabetes mellitus

Cited by 1 publication

References 14 publications

Role of Doppler Ultrasound and Percutaneous Transluminal Angioplasty in Early Diagnosis and Management of Peripheral Artery Disease

Role of Doppler Ultrasound and Percutaneous Transluminal Angioplasty in Early Diagnosis and Management of Peripheral Artery Disease

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