Vega Gómez M E, Ley Pozo J, Aldama Figueroa A, Lima Santana B, Montalvo Diago J, Bustillo C, Fernández Boloña A, Gutiérrez Jiménez O, Ramirez Muñoz O, Martínez Hernández R
Instituto Nacional de Angiología y Cirurgía Vascular, Hospital Docente Dr. Salvador Allende, La Habana, Cuba.
Angiologia. 1993 Jul-Aug;45(4):141-5.
This study was designed to describe the presence of calcifications according to the clinical features of the diabetic patient and the hemodynamics of the calcified arteries. With this purpose, 197 lower limbs from diabetic patients (type I and II) and carbon-hydrate intolerant patients, were studied. In all of the patients, the pressure ratio leg/arm was measured. On the same way, the arterial flow velocity was recorded using the Doppler ultrasonography on the pedia and postero-tibial arteries. The arterial calcifications, evident on the radiography of the foot, were more frequent between the type I patients and the neuro-infections diabetic foot. According to the hemodynamics point of view, we found a trend of association of more pathologic arterial flow velocity curves with the presence of calcifications (specially on the intima layer). It was also remarkable that an arterial incomprensibility was always associated with arterial calcifications.
本研究旨在根据糖尿病患者的临床特征及钙化动脉的血流动力学情况描述钙化的存在。为此，对197例来自I型和II型糖尿病患者以及碳水化合物不耐受患者的下肢进行了研究。在所有患者中，测量了腿/臂压力比值。同样，使用多普勒超声记录了足部和胫后动脉的动脉血流速度。足部X线片上明显的动脉钙化在I型患者和神经感染性糖尿病足中更为常见。从血流动力学角度来看，我们发现更病理性的动脉血流速度曲线与钙化的存在（特别是在内膜层）存在关联趋势。同样值得注意的是，动脉不可压缩性总是与动脉钙化相关。
