Document Detail


A Doppler-based evaluation of peripheral lower limb arterial insufficiency in diabetes mellitus.
MedLine Citation:
PMID:  20141688     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the frequency, level and flow patterns of lower limb arterial insufficiency in diabetic patients on Doppler ultrasound study. STUDY DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Radiology Department, Civil Hospital, Karachi, from February 2007 to September 2008. METHODOLOGY: One hundred adult diabetic patients with suspected peripheral vascular insufficiency irrespective of gender were included. Demographic data, presenting complaints, treatment history, and level of HbA1c were recorded. Doppler evaluated arterial status and ankle brachial index (ABI) were recorded on proforma. Statical analysis were done on SPSS version 12. RESULTS: The mean HbA1c was 8.4+/-1.4 gm/dl, a majority of 77% having a controlled level of <10mg/dl. Arterial insufficiency on Doppler ultrasound was documented in 62% (p=0.016) and the dorsalis paedis artery was the predominant site of stenosis (24%). Spectral broadening and biphasic flow were salient features. The mean value of resistive index in stenotic cases was 0.563+/-0.16 with a mean velocity difference of 0.37+/-0.29 m/s (p<0.001) at the site of stenosis. CONCLUSION: Peripheral vascular insufficiency was a significant finding in patients having diabetes for an average of 9.8 years, even in the presence of controlled HbA1c. The dorsalis paedis was the commonest site of involvement. The insufficiency was moderate with a biphasic flow pattern in a majority of cases. Difference in resistive index and flow velocities at and above the site of stenosis provided an important clue to the diagnosis of level of stenosis that helps in planning limb salvage management.
Authors:
Riffat Shaheen; Saba Sohail
Related Documents :
18727978 - Heavily calcified chronic total occlusion of common iliac artery successfully treated w...
19174258 - Peripheral artery leiomyosarcoma.
8858778 - Mr angiography of the peripheral vasculature.
17603718 - Imaging of peripheral arteries by 16-slice computed tomography angiography. a valuable ...
23851878 - Zygomatico-orbital artery as a recipient vessel for microsurgical head and neck reconst...
23040868 - Aortic calcification: novel insights from familial hypercholesterolemia and potential r...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  20     ISSN:  1022-386X     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-09     Completed Date:  2010-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  22-5     Citation Subset:  IM    
Affiliation:
Department of Radiology, Dow University of Health Sciences and Civil Hospital, Karachi. docriffat@yahoo.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Arteries / pathology
Constriction, Pathologic
Diabetic Angiopathies / ultrasonography*
Female
Humans
Leg / blood supply*
Male
Middle Aged
Peripheral Vascular Diseases / ultrasonography*
Ultrasonography, Doppler

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Vertical Facial and Dental Arch Dimensional Changes in Extraction vs. Non-Extraction Orthodontic Tre...
Next Document:  Gender difference and relationship of insulin resistance with microalbuminuria type-2 diabetes.