Duplex Arteriography for Lower Extremity Revascularization
Identifieur interne : 007623 ( Main/Exploration ); 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
Affiliations:
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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></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><noCountry><name sortKey="Hingorani, Anil P" sort="Hingorani, Anil P" uniqKey="Hingorani A" first="Anil P." last="Hingorani">Anil P. Hingorani</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Ascher, Enrico" sort="Ascher, Enrico" uniqKey="Ascher E" first="Enrico" last="Ascher">Enrico Ascher</name></region><name sortKey="Marks, Natalie" sort="Marks, Natalie" uniqKey="Marks N" first="Natalie" last="Marks">Natalie Marks</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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