| Evaluation of the pattern of proximal and distal occlusion and collateral circulation of lower limb arteries using combined contrast arteriography and color doppler ecography. | |
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MedLine Citation:
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PMID: 20198824 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Lower limb peripheral arterial occlusive disease (PAOD) is highly prevalent and causes disability and poor quality of life. The purpose of our study was to evaluate the pattern of proximal and distal occlusion and collateral circulation of lower limb arteries using combined contrast arteriography and color doppler ecography. The study concerned 140 subjects (88 men and 52 women, age range 65-88 years) with symptomatic lower limb arterial disease (Fontaine's stage II) subsequent to the occlusion of vessels downstream from the subrenal aorta. The assessment of lower-extremity PAOD was performed by using the FRASI study three step protocol. The calculation of the Winsor index showed progressively lower haemodynamic compromission in distal occlusion. The more the site of occlusion was proximal, and the greater was its hemodynamic effect, although there was no statistically significance. A combined use of contrast arteriography and color doppler ecography appeared very useful in studying the anatomy of the occlusions and their haemodynamic impact, as well as in analysing the presence and the effects of collateral circles. These findings may be fundamental for identifying the most correct indications for surgical therapy and for selecting optimal strategies and prostheses. |
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Authors:
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Debora Valecchi; Duccio Bacci; Massimo Gulisano; Andrea A Conti; Maurizio Sibilio; Mario Lipoma; Eleonora Sgambati; Claudio Macchi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Italian journal of anatomy and embryology = Archivio italiano di anatomia ed embriologia Volume: 114 ISSN: 1122-6714 ISO Abbreviation: Ital J Anat Embryol Publication Date: 2009 Apr-Sep |
Date Detail:
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Created Date: 2010-03-04 Completed Date: 2010-06-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9612303 Medline TA: Ital J Anat Embryol Country: Italy |
Other Details:
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Languages: eng Pagination: 121-7 Citation Subset: IM |
Affiliation:
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Don Carlo Gnocchi Foundation, IRCCS Florence, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angiography / methods* Aorta, Abdominal / pathology, radiography, ultrasonography Arteries / pathology, ultrasonography* Disease Progression Echocardiography, Doppler, Color / methods* Equipment Design Female Femoral Artery / pathology, radiography, ultrasonography Hemodynamics Humans Iliac Artery / pathology, radiography, ultrasonography Leg / blood supply*, pathology, physiopathology Male Peripheral Vascular Diseases / pathology, radiography*, ultrasonography* Predictive Value of Tests Preoperative Care Prostheses and Implants Regional Blood Flow / physiology Tibial Arteries / pathology, radiography, ultrasonography |
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