Document Detail

The additional value of angiography after colour-coded duplex on decision making in patients with critical limb ischaemia. A prospective study.
MedLine Citation:
PMID:  12027465     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: to investigate prospectively the additional value of intra arterial digital subtraction arteriography (IADSA) for decision making in patients with critical limb ischemia (CLI). Treatment plans based on colour-duplex imaging (CDI) were compared with treatment plans based on IADSA. METHODS: ninety-eight consecutive patients with 112 legs with CLI were investigated by CDI and IADSA. Treatment plans based on CDI and IADSA were made separately during a multidisciplinary meeting. Both plans were retrospectively analysed with the outcome of the operation or the endovascular procedure as a reference. RESULTS: eighty-eight patients with 101 legs could be analysed. In 91 out of the 101 legs (90%) CDI offered the same strategy as the IADSA. In 10 legs IADSA provided additional information. Most of the additional information concerned the crural vessels. CONCLUSION: the preoperative planning of treatment in patients with chronic critical ischaemia of the lower limbs can be based on CDI alone in most patients. For planning crural revascularisation additional information may be needed. If severe calcification prevents adequate visualisation of the crural vessels or no patent anterior or posterior tibial artery with outflow across the ankle is present, IADSA should be performed.
J K A Avenarius; J C Breek; L E H Lampmann; D P van Berge Henegouwen; J F Hamming
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  23     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-05-24     Completed Date:  2002-07-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  393-7     Citation Subset:  IM    
Copyright Information:
Copyright 2002 Elsevier Science Ltd.
Department of Radiology, St. Elisabeth Hospital, 5000 LC Tilburg, The Netherlands.
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MeSH Terms
Aged, 80 and over
Angiography / standards*
Angioplasty, Balloon
Arterial Occlusive Diseases / complications,  diagnosis,  therapy
Critical Care
Decision Making*
Femoral Artery / surgery
Iliac Artery / surgery
Ischemia / complications,  diagnosis*,  therapy
Leg / blood supply*,  radiography,  ultrasonography
Middle Aged
Popliteal Artery / surgery
Prospective Studies
Treatment Outcome
Ultrasonography, Doppler, Duplex*
Vascular Patency / physiology

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

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