Document Detail


Role of Ultrasound Arterial Mapping in Planning Therapeutic Options for Critical Ischemia of Lower Limbs in Diabetic Patients.
MedLine Citation:
PMID:  22835567     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: To assess the role of ultrasound arterial mapping in planning therapeutic options for critical limb ischemia (CLI) in diabetic patients. METHODS: This observational and comparative study included 244 patients with CLI. All participants (64% were diabetic) underwent ultrasound arterial mapping before planning surgical treatment. We established two groups: diabetic (n = 156) and nondiabetic (n = 88). Arterial mapping was divided into segments. We studied 2,021 individual segments and used arteriography when ultrasound arterial mapping was not conclusive. We compared the degree of pathology between the groups, agreement between the treatment decision made after ultrasound mapping and the final surgical decision in both groups, and agreement between ultrasound mapping and arteriography in patients who underwent both procedures. RESULTS: Diabetic patients had a significantly higher degree of pathology in all segments, except the common iliac artery. Decisions made after ultrasound mapping matched the final surgical decision 90% and 94% of the time in diabetic patients and nondiabetic patients, respectively. Decisions made on the basis of ultrasound arterial mapping matched decisions made on the basis of arteriography in 86.3%. CONCLUSIONS: Ultrasound arterial mapping allowed for good therapeutic planning for CLI in diabetic patients, even though these patients had more severe arterial pathology.
Authors:
Xavier Martí; Antoni Romera; Ramon Vila; Marc A Cairols
Related Documents :
21377057 - Unusual diffuse pulmonary amyloidosis in systemic lupus erythematosus: computed tomogra...
12865607 - Clinical picture of patients with cerebral venous thrombosis and patterns of dural sinu...
16512467 - Superior sagittal sinus thrombosis and budd-chiari syndrome due to paroxysmal nocturnal...
12876627 - Accelerated thrombolysis in a rabbit model of carotid artery thrombosis with liposome-e...
11000657 - Anesthesia for patients with aortic aneurysm for non-aneurysmal surgery--a retrospectiv...
15380697 - The posterior interosseous artery in the distal part of the forearm. is the term "recur...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-25
Journal Detail:
Title:  Annals of vascular surgery     Volume:  -     ISSN:  1615-5947     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Vascular Surgery Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Spain.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Pasteurella multocida-Infected Expanded Polytetrafluoroethylene Hemodialysis Access Graft.
Next Document:  Development of a novel, physiologically relevant cytotoxicity model: Application to the study of che...