Duplex Arteriography for Lower Extremity Revascularization
Identifieur interne : 007623 ( Main/Curation ); précédent : 007622; suivant : 007624Duplex Arteriography for Lower Extremity Revascularization
Auteurs : Anil P. Hingorani ; Enrico Ascher [États-Unis] ; Natalie Marks [États-Unis]Source :
- Perspectives in Vascular Surgery and Endovascular Therapy [ 1531-0035 ] ; 2007-03.
Abstract
Duplex arteriography may be a potential replacement of preoperative standard contrast arteriography for peripheral arterial imaging in lower extremity revascularization procedures. In patients with chronic or acute ischemia, a well-performed duplex arteriography offers several practical advantages over contrast arteriography: it is noninvasive; it does not require nephrotoxic agents; it is portable and can be done expeditiously; color flow and waveform analysis provide a better estimation of the hemodynamic significance of occlusive disease; it allows direct visualization of the entire artery and not only of the lumen thus enabling plaque characterization; with color flow and power Doppler techniques, it is possible to identify patent arteries subjected to very low flow states; and it can detect occluded arterial aneurysms thereby avoiding unnecessary attempts at thromboembolectomies. High-quality arterial ultrasonography performed by a highly skilled and well-trained vascular technologist may represent an alternative to conventional arteriography for patients in need of primary or secondary lower extremity revascularization.
Url:
DOI: 10.1177/1531003506298080
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Anil P. Hingorani<affiliation><wicri:noCountry code="no comma">E-mail: ahingorani@maimonidesmed.org</wicri:noCountry>
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<front><div type="abstract" xml:lang="en">Duplex arteriography may be a potential replacement of preoperative standard contrast arteriography for peripheral arterial imaging in lower extremity revascularization procedures. In patients with chronic or acute ischemia, a well-performed duplex arteriography offers several practical advantages over contrast arteriography: it is noninvasive; it does not require nephrotoxic agents; it is portable and can be done expeditiously; color flow and waveform analysis provide a better estimation of the hemodynamic significance of occlusive disease; it allows direct visualization of the entire artery and not only of the lumen thus enabling plaque characterization; with color flow and power Doppler techniques, it is possible to identify patent arteries subjected to very low flow states; and it can detect occluded arterial aneurysms thereby avoiding unnecessary attempts at thromboembolectomies. High-quality arterial ultrasonography performed by a highly skilled and well-trained vascular technologist may represent an alternative to conventional arteriography for patients in need of primary or secondary lower extremity revascularization.</div>
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