Yıl: 2020 Cilt: 31 Sayı: 4 Sayfa Aralığı: 345 - 349 Metin Dili: İngilizce DOI: 10.14744/scie.2020.39306 İndeks Tarihi: 31-01-2022

Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study

Öz:
Objective: The aim of this study was to determine whether aortic, iliac, and femoral artery bifurcation angles were different in diabetic patients with and without diabetic foot, and whether angle differences assessed based on computed tomography angiography (CTA) imaging could predict the development of diabetic foot. Methods: A total of 111 patients with diabetes mellitus (DM) were included in the study: 61 with diabetic foot and 50 without diabetic foot. The aortic, right and left iliac, and right and left femoral bifurcation angles were measured using CTA images and evaluated retrospectively with the Sectra PACS system (Sectra Medical Systems GmbH, Koln, Germany). Results: When the values of the control and diabetic foot groups were compared, there was no statistically significant difference between the aortic bifurcation angle (p=0.438), right (p=0.223) and left (p=0.459) iliac bifurcation angles, or the right (p=0.080) and left (p=0.064) femur bifurcation angles. Conclusion: The results revealed no significant difference in the bifurcation angles of the aorta and lower extremity arteries in diabetic patients with and without diabetic foot, and suggested that the changes in vascular geometry caused by DM may not be a major factor in the development of diabetic foot.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Noor S, Zubair M, Ahmad J. Diabeticfootulcer-A review on pathophysiology, classification and microbial etiology. Diabetes Metab Syndr 2015;9:192−9.
  • 2. Neville RF, Kayssi A, Buescher T, Stempel MS. The diabetic foot. Curr Probl Surg 2016;53:408−37.
  • 3. Friedman FH, Ding Z. Variability of the planarity of the human aortic bifurcation. Med Eng Physics 1998;20:469−72.
  • 4. Rigatelli G, Cardaioli P, Avvocata D, Le D, Phan H, Nguyen K, et al. Peripheral vascular bifurcation: features and techniques. Chin Med J (Engl) 2012;125:3561−4.
  • 5. Shakeri AB, Tubbs RS, Shoja MM, Nosratinia H, Oakes WJ. Aortic bifurcation angle as an independent risk factor for aortoiliac occlusive disease. FoliaMorphol (Warsz) 2007;66:181−4.
  • 6. Deswal A, Tamang BK, Bala A. Study of aortic- common iliac bifurcation and its clinical significance. J Clin Diagn Res 2014;8:AC06−8.
  • 7. Ozguner G, Sulak O. Development of the abdominal aorta and iliac arteries during the fetal period: a morphometric study. Surg Radiol Anat 2011;33:35−43.
  • 8. Shah PM, Scarton HA, Tsapogas MJ. Geometric anatomy of the aortic-- common iliac bifurcation. J Anat 1978;126:451−8.
  • 9. Smedby O. Geometrical risk factors for atherosclerosis in the femoral artery: a longitudinal angiographic study. Ann Biomed Eng 1998;26:391−7.
  • 10. Astrand H, Rydén-Ahlgren A, Sundkvist G, Sandgren T, Länne T. Reduced aortic wall stress in diabetes mellitus. Eur J Vasc Endovasc Surg 2007;33:592−8.
  • 11. Brownrigg JRW, Schaper NC, Hinchliffe RJ. Diagnosis and assessment of peripheral arterial disease in the diabetic foot. Diabet Med 2015;32:738−47.
  • 12. Forsythe RO, Brownrigg J, Hinchliffe RJ. Peripheral arterial disease and revascularization of the diabetic foot. Diabetes Obes Metab 2015;17:435−44.
  • 13. Peter-Riesch B. The Diabetic Foot: The Never-Ending Challenge. Endocr Dev 2016;31:108−34.
  • 14. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Ann Med 2017;49:106−16.
  • 15. Forsythe RO, Hinchliffe RJ. Assessment of foot perfusion in patients with a diabetic foot ulcer. Diabetes Metab Res Rev 2016;32:232−8.
  • 16. Wyss CR, Matsen FA, Simmons CW, Burgess EM. Trans cutaneous oxygen tension measurements on limbs of diabetic and non diabetic patients with peripheral vascular disease. Surgery 1984;95:339−46.
  • 17. Akcay S, Kazimoglu C, Satoglu IS, Kurtulmus A, Erpala F. Relationship Between Diabetic Retinopathy and Neuropathy in Diabetic Foot Ulcers. J Kartal TR 2013;24:37−41.
  • 18. Catalano C, Fraioli F, Laghi A, Napoli A, Bezzi M, Pediconi F, et al. Infrarenal aortic and lower-extremity arterial disease: diagnostic performance of multi-detector row CT angiography. Radiology 2004;231:555−63.
  • 19. Met R, Bipat S, Legemate DA, Reekers JA, Koelemay MJW. Diagnostic performance of computed tomography angiography in peripheral arterial disease: a systematic review and meta-analysis. JAMA 2009;28:415−24.
  • 20. Heijenbrok-Kal MH, Kock MC, Hunink MG. Lower extremity arterial disease: multidetector CT angiography meta-analysis. Radiology 2007;245:433−9.
  • 21. Ali MF, Alameen S, Gar-Elnabi MEM, Ayad CE. Measurement the diameter of abdominal aortic and femoral artery for diabetic and hypertensive patients in CTA using MDCT. Asian Journal of Science and Technology 2016;7:3752−6.
  • 22. Orhan E, Özçağlayan Ö. Collateral circulation between angiosomes in the feet of diabetic patients. Vascular 2018;26:432−9.
APA Ozcaglayan O, Kurtoğlu Özçağlayan T (2020). Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. , 345 - 349. 10.14744/scie.2020.39306
Chicago Ozcaglayan Omer,Kurtoğlu Özçağlayan Tuğba İlkem Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. (2020): 345 - 349. 10.14744/scie.2020.39306
MLA Ozcaglayan Omer,Kurtoğlu Özçağlayan Tuğba İlkem Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. , 2020, ss.345 - 349. 10.14744/scie.2020.39306
AMA Ozcaglayan O,Kurtoğlu Özçağlayan T Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. . 2020; 345 - 349. 10.14744/scie.2020.39306
Vancouver Ozcaglayan O,Kurtoğlu Özçağlayan T Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. . 2020; 345 - 349. 10.14744/scie.2020.39306
IEEE Ozcaglayan O,Kurtoğlu Özçağlayan T "Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study." , ss.345 - 349, 2020. 10.14744/scie.2020.39306
ISNAD Ozcaglayan, Omer - Kurtoğlu Özçağlayan, Tuğba İlkem. "Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study". (2020), 345-349. https://doi.org/10.14744/scie.2020.39306
APA Ozcaglayan O, Kurtoğlu Özçağlayan T (2020). Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. Southern Clinics of Istanbul Eurasia, 31(4), 345 - 349. 10.14744/scie.2020.39306
Chicago Ozcaglayan Omer,Kurtoğlu Özçağlayan Tuğba İlkem Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. Southern Clinics of Istanbul Eurasia 31, no.4 (2020): 345 - 349. 10.14744/scie.2020.39306
MLA Ozcaglayan Omer,Kurtoğlu Özçağlayan Tuğba İlkem Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. Southern Clinics of Istanbul Eurasia, vol.31, no.4, 2020, ss.345 - 349. 10.14744/scie.2020.39306
AMA Ozcaglayan O,Kurtoğlu Özçağlayan T Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. Southern Clinics of Istanbul Eurasia. 2020; 31(4): 345 - 349. 10.14744/scie.2020.39306
Vancouver Ozcaglayan O,Kurtoğlu Özçağlayan T Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study. Southern Clinics of Istanbul Eurasia. 2020; 31(4): 345 - 349. 10.14744/scie.2020.39306
IEEE Ozcaglayan O,Kurtoğlu Özçağlayan T "Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study." Southern Clinics of Istanbul Eurasia, 31, ss.345 - 349, 2020. 10.14744/scie.2020.39306
ISNAD Ozcaglayan, Omer - Kurtoğlu Özçağlayan, Tuğba İlkem. "Can Development of Diabetic Foot be Predicted Using Aortic, Iliac and Femoral Bifurcation Angles? A Computed Tomography Angiography Study". Southern Clinics of Istanbul Eurasia 31/4 (2020), 345-349. https://doi.org/10.14744/scie.2020.39306