Patients with and without DM type 2, who were undergoing angioplasty within coronary bifurcation as an elective or acute procedure were recruited at four cardiology centers between Sep 2013–Jan 2015. Besides typical clinical parameters (age, gender, type of the coronary artery disease, information about chronic diseases, cardiovascular risk factors), the information about technical parameters of the procedure (stent inflation pressure, guide wire type) and Medina classification were recorded. After the main vessel's culprit lesion stenting, the “jailed” guidewire was removed from the side branch and was cleaned within an ultrasound bath and with chemical cleansers, then dried. To assess guidewire's damage the optical microscope (with fiber-optic video transmission) was used and photographic documentation was done. Two independent researchers were responsible for damage assessment. The P ≤ 0.05 was taken as statistical significance. The statistical analysis of the data was performed using t-Student's test, U Mann-Whitney test depending on the outcome of the analysis of normality of distribution, as assessed using the Kolmogorov-Smirnov with amendment of Lillefors and Shapiro-Wilk test. Depending on the distribution of the variables the average or median was specified. In the analysis of interest data, Chi2 or Fisher tests were used.
Medical records from 74 individuals, with all the above mentioned and necessary information for analysis, were analyzed: 24 from patients with and 50 without DM. There was no difference between groups according to the clinical and technical parameters as well as the Medina classification. No periprocedural complications were recorded. In 20 cases with, and 40 without DM guidewire's damage was recorded (83.4 vs. 80.0%, respectively), P = 0.3.
Type 2 DM is not associated with a higher incidence of the “jailed” guidewire's damage during angioplasty within the bifurcation.