Arterial duplex for diagnosis of peripheral arterial emboli

Crawford, Jeffrey D.; Perrone, Kenneth H.; Jung, Enjae; Mitchell, Erica L.; Landry, Gregory J.; Moneta, Gregory L.

doi:10.1016/j.jvs.2016.04.005

Cited by 12 publications

(11 citation statements)

References 12 publications

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“…In our study, DUS was the main utility for the diagnosis of ALI. Crawford et al [9] performed a prospective study and they evaluated the utility of DUS imaging alone for the diagnosis and treatment of ALI. In their study, diagnosis by DUS imaging alone was compared with contrast angiography and CTA.…”

Section: Discussionmentioning

confidence: 99%

Surgical results of acute thromboembolic limb ischemia in octogenarians

Aldağ¹

2018

Damar Cer Derg

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Amaç: Bu çalışmada, akut ekstremite iskemisi (AEİ) olan ve acil tromboembolektomi yapılan seksen yaş ve üzeri hastaların cerrahi sonuçları değerlendirildi. Hastalar ve Yöntemler: Ocak 2016-Mart 2018 tarihleri arasında hastanemizde alt veya üst ekstremitede akut tromboembolik iskemi tanısı konan ve acil tromboembolektomi yapılan 80 yaş ve üzeri toplam 27 hastanın (16 kadın, 11 erkek; medyan yaş 85.2±4.3 yıl; dağılım, 80-95 yıl) tıbbi dosyası retrospektif olarak incelendi. Akut ekstremite iskemisinin 30 günlük mortalite oranı değerlendirildi. Hastaların demografik ve klinik özellikleri, eşlik eden hastalıkları ve enfeksiyon, gastrointestinal kanama, hematom, revizyon cerrahisi ve ampütasyon dahil olmak üzere ameliyat sonrası sonuçlar kaydedildi. Bulgular: On dokuz hastada (%70.3) akut alt ekstremite iskemisi var iken, sekiz hastada (%29.7) akut üst ekstremite iskemisi vardı. Akut iskemiye bağlı akut ağrı, en sık görülen semptomdu (n=26, %96.3). Atriyal fibrilasyon, hastaların %62.9'unda en sık görülen komorbidite idi. Ameliyat sonrası komplikasyonlar hematom (n=5, %18.5), yara yeri enfeksiyonu (n=4, %14.8) ve gastrointestinal kanama (n=2, %7.4) idi. Üç hastada (%11.1) embolektomi yeniden yapıldı. Üç hastaya (%11.1) kompartman sendromu nedeniyle fasyotomi uygulandı ve bu hastalara akabinde alt ekstremite ampütasyonu yapıldı. İki hastada böbrek yetmezliğine bağlı mortalite izlendi ve mortalite oranı %7.4 olarak bulundu. Sonuç: Çalışma sonuçlarımıza göre, ALI seksen yaş ve üzeri hastalarda farklı sonuçlar doğurmaktadır. Çalışma bulgularımız uzamış iskemi nedeniyle nörolojik defisit gelişen hastalar ve diabetes mellitus ve şiddetli iskemili hastaların mortalite ve morbidite açısından daha yüksek bir risk ile karşı karşıya olduğunu göstermektedir.

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Section: Discussionmentioning

confidence: 99%

Surgical results of acute thromboembolic limb ischemia in octogenarians

Aldağ¹

2018

Damar Cer Derg

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“…44 In a retrospective analysis of 181 patients with ALI, 90 patients were treated based on DUS as the sole pre-operative modality, with similar outcomes to those who had pre-operative DSA and computed tomography angiography (CTA). 45 The clinical applicability of DUS is limited in the acute setting, because it is not always available 24/7.…”

Section: Duplex Ultrasoundmentioning

confidence: 99%

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Acute Limb Ischaemia

Björck

Earnshaw

Acosta

et al. 2020

European Journal of Vascular and Endovascular Surgery

316

222

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“…Even if the aneurysm is full of thrombosis, the aneurysm diagnosis can be con rmed. Duplex ultrasound therefore only shows the morphological structure of popliteal vessels, but also provides hemodynamic information [16]. It is a non-invasive method that might prove to be of great value in the diagnosis of PVES.…”

Section: Discussionmentioning

confidence: 99%

Doppler Ultrasound Evaluation of Patients with Popliteal Vascular Entrapment Syndrome

Zhong

Shao

et al. 2020

Preprint

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Background To retrospectively evaluate Doppler ultrasound findings for patients with popliteal vascular entrapment syndrome (PVES). Methods Twenty-four patients (30 legs) who underwent surgical intervention for PVES were included in this study. The popliteal artery, popliteal vein, and surrounding musculotendinous structures were explored in all symptomatic lower extremities using ultrasound. Intraoperative findings served as the gold standard. In the absence of popliteal artery occlusion, popliteal arteries were examined using Doppler ultrasound at rest and during a provocative maneuver. Results Ultrasonography in 25 cases (25/30, 83%) showed that gastrocnemius medial head or popliteal vascular anomalies were consistent with surgical photography results. According to Whelan and Rich classification, the classic type I was found in five limbs, type II in twelve limbs, type III in seven limbs, and type V in one limb. In the remaining five cases (5/30, 17%), no anatomical abnormalities of the popliteal fossa were discovered by the ultrasound examination. Among these, two cases (2/30, 7%) were misdiagnosed as lower extremity atherosclerosis and popliteal vascular depression was not found. In addition, increasing blood flow velocity was found in three cases (3/30, 10%) of compressed popliteal arteries using Duplex scanning during active plantar flexion, with decreasing flow at the distal end. Color Doppler ultrasound of the affected popliteal vessels showed varied degrees of vascular structure pathology, including arterial stenosis in ten limbs, occlusion in fifteen limbs, and aneurysm in two limbs. Conclusion Doppler ultrasound may have a high diagnostic rate in PVES. Due to its simplicity, repeatability, functional evaluation of blood flow, and non-invasiveness, it can be used as a primary screening examination modality in PVES. Provocative maneuvers could help clinicians diagnose PVES.

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Arterial duplex for diagnosis of peripheral arterial emboli

Cited by 12 publications

References 12 publications

Surgical results of acute thromboembolic limb ischemia in octogenarians

Surgical results of acute thromboembolic limb ischemia in octogenarians

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Acute Limb Ischaemia

Doppler Ultrasound Evaluation of Patients with Popliteal Vascular Entrapment Syndrome

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