Impact of Inherited Prothrombotic Disorders on the Long-Term Clinical Outcome of Percutaneous Transluminal Angioplasty in Patients with Diabetes
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu klinické zkoušky kontrolované, časopisecké články, práce podpořená grantem
PubMed
26247037
PubMed Central
PMC4515498
DOI
10.1155/2015/369758
Knihovny.cz E-zdroje
- MeSH
- angioplastika škodlivé účinky MeSH
- bérec krevní zásobení MeSH
- bodová mutace * MeSH
- diabetické angiopatie etiologie patofyziologie terapie MeSH
- faktor V analýza genetika MeSH
- genetické asociační studie MeSH
- ischemie epidemiologie etiologie prevence a kontrola MeSH
- lidé středního věku MeSH
- lidé MeSH
- methylentetrahydrofolátreduktasa (NADPH2) krev genetika MeSH
- paže krevní zásobení MeSH
- prevalence MeSH
- protrombin analýza genetika MeSH
- průřezové studie MeSH
- recidiva MeSH
- senioři MeSH
- substituce aminokyselin MeSH
- trombofilie krev komplikace genetika patofyziologie MeSH
- trombóza komplikace etiologie patofyziologie terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky kontrolované MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
- Názvy látek
- factor V Leiden MeSH Prohlížeč
- faktor V MeSH
- methylentetrahydrofolátreduktasa (NADPH2) MeSH
- MTHFR protein, human MeSH Prohlížeč
- protrombin MeSH
The aim of our study was to analyse inherited thrombotic disorders that influence the long-term outcome of PTA. Methods. Diabetic patients with peripheral arterial disease (PAD) treated by PTA in our centre between 2008 and 2011 were included in the study. Patients were divided into unsuccessful PTA group (75 patients), successful PTA group (58 patients), and control group (65 patients, with diabetes but no PAD). Diagnosis of inherited thrombotic disorders included mutation in factor V (Leiden), factor II (prothrombin), and mutation in genes for methylenetetrahydrofolate reductase-MTHFR (C677T and A1298C). Results. The genotypic frequency of Leiden allele G1691A was significantly associated with a risk of unsuccessful PTA in comparison with successful PTA group and control group (OR 8.8 (1.1-70.6), p = 0.041, and OR 9.8 (1.2-79.2), p = 0.032, resp.). However, we only observed a trend for the association of the prothrombin allele G20210A and risk of PTA failure. The frequencies of alleles of MTHFR 677 or 1298 did not differ significantly among the groups. Conclusion. Our study showed higher frequency of heterozygous form of Leiden mutation in diabetic patients with unsuccessful outcome of PTA in comparison with patients with successful PTA and diabetic patients without PAD.
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