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Revista médica de Chile

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DUSSAILLANT N, Gastón et al. Results of coronary angioplasty in diabetic and non diabetic patients.: A one year follow-up study. Rev. méd. Chile [online]. 2001, vol.129, n.8, pp.861-870. ISSN 0034-9887.

Background: The success of revascularization procedures for coronary artery disease could be lower in diabetic patients. Aim: To report the results of coronary angioplasty in diabetic and non diabetic patients. Patients and methods: All angioplasty procedures performed between 1996 and 1999 were recorded. Demographic data, procedure details, hospital outcome and evolution at one year of follow up were analyzed. Results: During the study period, 358 patients were treated; of these, 79 were diabetics. Despite the greater severity of coronary lesions among diabetic patients the clinical success of the procedure was 92.4% in diabetics and 91.8% in non diabetics. Hospital mortality was 1.3% in diabetics and 0.7% in non diabetics. Major complications occurred in 3.8% of diabetics and 3.2% in non diabetics. One year survival was 95.9% for diabetics and 98% in non diabetics. There were five late cardiac deaths among non diabetics and 3 among diabetics during the year of follow up. The frequency of new revascularization procedures was 4.3% in diabetics and 8.3% in non diabetics. Event-free survival was 95.6% in diabetics and 89.2% in non diabetics. Conclusions: Results of angioplasty were similar in diabetic and non diabetic patients in terms of hospital outcome and late follow-up (Rev Méd Chile 2001; 129: 861-70).

Keywords : Angioplasty, balloon; Angioplasty, transluminal, percutaneous coronary; Coronary thrombosis; Diabetes mellitus; Diabetic angiopathies.

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