{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T09:58:42Z","timestamp":1794045522525,"version":"4.8.0"},"reference-count":20,"publisher":"Mark Allen Group","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2021,8,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To describe the angiographic characteristics of peripheral arterial disease (PAD) in persons with diabetic foot ulcers (DFUs) on dialysis treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> The study is a retrospective analysis of patients with DFUs and PAD who had been referred to our diabetic foot clinic. All patients had been managed by a pre-set limb salvage protocol including revascularisation of the affected limb. Arterial lesions (stenosis between 50\u201399% and occlusions) were retrospectively evaluated through angiogram analysis. According to the presence or not of dialysis, patients were divided into two patient groups: renal-diabetic foot (RDF) and diabetic foot (DF). Distribution of PAD and immediate revascularisation outcome (technical revascularisation outcome) for RDF and DF were separately reported and compared. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The sample included 239 patients: mean age was 71.8 years; 72.4% were male; 87.4% had type 2 diabetes; mean diabetes duration was 21.4 years; and the mean HbA1c was 63\u00b122mmol\/mol. The RDF group compared with the DF group reported higher numbers of vessels affected (n=5\u00b11.6 versus 3.9\u00b11.5, respectively, p&lt;0.0001), greater involvement of the superficial femoral artery (90.2% versus 75.8%, respectively, p=0.003), the tibial-peroneal trunk (53.7% versus 25.5%, respectively, p=0.01), the anterior tibial artery (93.9% versus 80.9%, respectively, p=0.03) and below-the-ankle (BTA) arteries (70.7% versus 35.7%, respectively, p=0.0001). The RDF group showed a higher rate of revascularisation failure in comparison to DF patients (43.9% versus 15.3%, respectively, p&lt;0.0001). BTA arterial disease (odds ratio 9.5; 95% Confidence Interval: 3.5\u201325.4; p=0.0001) resulted as the only independent predictor of revascularisation failure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> In this study, RDF patients showed a widespread distribution of arterial lesions with a higher involvement of foot arteries in comparison with DF patients. BTA arterial disease was found to be an independent predictor of revascularisation failure. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2021.30.8.660","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T13:10:14Z","timestamp":1628773814000},"page":"660-664","source":"Crossref","is-referenced-by-count":9,"title":["Peripheral arterial disease in patients with renal-diabetic foot ulcers"],"prefix":"10.12968","volume":"30","author":[{"given":"Marco","family":"Meloni","sequence":"first","affiliation":[{"name":"Diabetic Foot Unit, Department of Systems Medicine, University of Rome \u2018Tor Vergata\u2019, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Izzo","sequence":"additional","affiliation":[{"name":"Diabetic Foot Unit, Department of Systems Medicine, University of Rome \u2018Tor Vergata\u2019, 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Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Brocco","sequence":"additional","affiliation":[{"name":"Diabetic Foot Unit, Foot and Ankle Clinic, Abano Terme Polyclinic, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Gandini","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University of Rome \u2018Tor Vergata\u2019, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Uccioli","sequence":"additional","affiliation":[{"name":"Diabetic Foot Unit, Department of Systems Medicine, University of Rome \u2018Tor Vergata\u2019, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1159\/000480041","volume-title":"The diabetic foot Syndrome","volume":"26","author":"Meloni 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