Document Detail

Arterial imaging in patients with lower-extremity ischemia and diabetes mellitus.
MedLine Citation:
PMID:  20847356     Owner:  NLM     Status:  MEDLINE    
Precise comprehensive imaging of arterial circulation is the cornerstone of successful revascularization of the ischemic extremity in patients with diabetes mellitus. Arterial imaging is challenging in these patients because the disease is often multisegmental, with a predilection for the distal tibial and peroneal arteries. Occlusive lesions and the arterial wall itself are often calcified, and patients with ischemic complications frequently have underlying renal insufficiency. Intra-arterial digital subtraction angiography, contrast-enhanced magnetic resonance angiography, and, more recently, computed tomographic angiography have been used as imaging modalities in lower-extremity ischemia. Each modality has specific advantages and shortcomings in this patient population, which are summarized and contrasted in this review.
Frank Pomposelli
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the American Podiatric Medical Association     Volume:  100     ISSN:  1930-8264     ISO Abbreviation:  J Am Podiatr Med Assoc     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-17     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501423     Medline TA:  J Am Podiatr Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  412-23     Citation Subset:  IM    
Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, 110 Francis St, Ste 5B, Boston, MA 02215, USA.
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MeSH Terms
Angiography, Digital Subtraction / instrumentation
Contrast Media
Diabetic Angiopathies / diagnosis*,  radiography
Equipment Design
Image Processing, Computer-Assisted
Ischemia / diagnosis*,  radiography
Kidney Diseases / chemically induced
Magnetic Resonance Angiography
Osmolar Concentration
Tomography, Spiral Computed / instrumentation
Tomography, X-Ray Computed
Reg. No./Substance:
0/Contrast Media

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