• Anil Ozen, Görkem Yiğit, Bahadir Aytekin, Mehmet Cahit Saricaoglu, Ferit Kasimzade, and Hakki Zafer Iscan.
• Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.
• J Coll Physicians Surg Pak. 2020 Nov 1; 30 (11): 1180-1183.

ObjectiveTo present the early and mid-term results of PTA for femoropopliteal lesions in diabetic patients, performed by the cardiovascular surgeons.Study DesignExperimental study.Place And Duration Of StudyDepartment of Cardiovascular Surgery, Ankara City Hospital, Turkey, from August 2015 to April 2018.MethodologySeventy-nine patients with diabetes mellitus (DM) and lower limb arterial occlusive disease underwent endo-interventions causing Rutherford Class 2-5 pedal ischemia. Study end points included ankle brachial index (ABI) and primary patency (PP) evaluated through Kaplan-Meier analyses.ResultsThe technical success rate was 92.4% with a mean follow-up period of 13.3 ± 9.2 months. Bailout stenting was required in 27 (34.2%) of the lesions and only 7 (8.9%) patients required percutaneous reintervention at the end of the follow-up period. Kaplan-Meier analysis of the bailout stenting group revealed higher primary patency and lower reintervention rates at 24 months when compared with the PTA group (70.8%, 57.7%  and 80.5% 65.9%, respectively).ConclusionEndovascular procedures can be performed by cardiovascular surgeons in the early and mid-term with high success and low complication rates in patients with diabetes mellitus. Key Words: Percutaneous transluminal angioplasty, Endovascular arterial intervention, Diabetes, Femoro-popliteal occlusion, Revascularisation, Lower limb arterial occlusion.

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