Is diabetes a marker of higher risk after carotid revascularization? Experience from a single centre.
Casana R., Malloggi C., Odero A., Tolva V., Bulbulia R., Halliday A., Silani V.
PURPOSE: This single centre study investigates the influence of diabetes mellitus on outcomes following carotid artery endarterectomy or stenting. METHODS: In total, 752 carotid revascularizations (58.2% carotid artery stenting and 41.8% carotid endarterectomy) were performed in 221 (29.4%) patients with diabetes and 532 (70.6%) patients without diabetes. The study outcomes were death, disabling and non-disabling stroke, transient ischaemic attack and restenosis within 36 months after the procedure. RESULTS: Patients with diabetes had higher periprocedural risk of any stroke or death (3.6% diabetes vs 0.6% no diabetes; p 0.05) and restenosis (2.7% diabetes vs 0.6% no diabetes; p