Type 2 & other diabetes

Sodium-glucose co-transporter 2 inhibitor use in patients with diabetes mellitus undergoing endovascular therapy for symptomatic peripheral artery disease

Cardiovasc DiabetolPublished Analysis of a multicentre prospective registry

Authors' conclusion

SGLT2 inhibitors were not rarely used in patients with diabetes mellitus who underwent femoropopliteal endovascular therapy using a drug coated balloon for symptomatic peripheral artery disease in real-world settings. SGLT2 inhibitor treatment was not associated with an increased risk of restenosis.

Study context

Population
Patients with DM free from end-stage renal disease undergoing femoropopliteal drug-coated balloon endovascular therapy for symptomatic peripheral artery disease, Japan
Participants
1,058 patients
Exposure
SGLT2i use vs no SGLT2i
Outcome
Prevalence of SGLT2i treatment at revascularization
Methodological detailsmulticenter, propensity score matching
  • Multicenter
  • Propensity score matching

Main finding

As reported in the abstract

Proportion on SGLT2i at revascularization

14.8%

95% CI 12.8–17.1%

Proportion on SGLT2i in patients with the three associated factors

38.2%

95% CI 25.4–52.3%

Observational data: associations, not effects.

Further findings

OutcomeSGLT2iNo SGLT2iP value
Primary patency (freedom from restenosis) · 2 yearsNot different · propensity score-matched analysis72.0% (95% CI 64.1–80.9%)67.8% (95% CI 62.7–73.3%)P = 0.45

Original publication

Sodium-glucose co-transporter 2 inhibitor use in patients with diabetes mellitus undergoing endovascular therapy for symptomatic peripheral artery disease. Cardiovasc Diabetol. Published 5 October 2023. doi:10.1186/s12933-023-01992-4

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