Comparison of duplex imaging and arteriography in the evaluation of lower limb arteries

Aly, Samoura; Sommerville, K.; Adiseshiah, M; Raphaël, Maurice; Smith, Philip; Bishop, Christopher

doi:10.1046/j.1365-2168.1998.00786.x

Cited by 72 publications

(47 citation statements)

References 22 publications

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“…15,16 In recent years, several studies have reported on the accuracy of DUS to diagnose lesions in the femoropopliteal segment with sensitivities ranging from 60% to 90% and specificities from 43% to 100%. [6][7][8][9][10][11][12][13] Our study found a strong correlation among duplex-derived PSV and Vr and angiographic findings. Using the ROC curve analysis, we calculated sensitivities and specificities for different values of PSV and Vr and chose the cutoff values with the highest accuracy.…”

Section: Discussionsupporting

confidence: 55%

“…[3][4][5] Duplex ultrasound (DUS) is a noninvasive technique for evaluation of peripheral vascular disease and previous studies have shown good agreement between DUS and DSA. [6][7][8][9][10][11][12][13] It is easy to perform, has no side effects, and is relatively inexpensive. 14 However, DUS is operator-dependent and there are concerns about reproducibility of results on different equipment.…”

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confidence: 99%

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Utility of duplex ultrasound in detecting and grading de novo femoropopliteal lesions

Khan

Bradley

et al. 2011

Journal of Vascular Surgery

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Section: Discussionsupporting

confidence: 55%

mentioning

confidence: 99%

Utility of duplex ultrasound in detecting and grading de novo femoropopliteal lesions

Khan

Bradley

et al. 2011

Journal of Vascular Surgery

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“…However, the accuracy and specificity of duplex scanning may be compromised when examining arterial segments distal to significant disease. Duplex scanning may be sufficient for planning surgical approaches for revascularization [17][18][19], but intraoperative arteriography is generally needed to confirm the selection of a distal revascularization target.…”

Section: Planning For Revascularizationmentioning

confidence: 99%

Critical limb ischemia

Dawson

Hagino

2001

Curr Treat Options Cardio Med

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Patients with critical limb ischemia (CLI) present with ischemic rest pain or with tissue loss. Tissue loss, in its mildest presentation, includes focal ischemic ulceration or nonhealing wounds. Gangrene is the manifestation of severe chronic ischemia. Without revascularization, patients with CLI are at risk for limb loss and for potentially fatal complications from the progression of gangrene and the development of sepsis. The best patient outcomes are achieved when the diagnosis and appropriate treatment for CLI are not delayed. Simple noninvasive tests, such as measurement of ankle-to-brachial indices or toe Doppler pressures, take only minutes to provide sufficient information to confirm the diagnosis of peripheral artery disease (PAD) and to document the severity of limb ischemia. Subsequent diagnostic imaging studies, such as arteriography, magnetic resonance angiography, or ultrasound duplex scanning, provide the detailed information needed to plan revascularization therapy. Balloon angioplasty and stenting work best for focal segments of narrowing or short occlusions of the iliac arteries, but endovascular treatments yield progressively poorer results with longer and more distal lesions. Long segments of occlusion, especially those distal to the common femoral artery, are best treated with surgical bypass. Pharmacotherapy and adjunctive therapies, such as topical therapies or hyperbaric oxygen treatment, may have a limited role in patients in whom revascularization procedures have failed or for those in whom revascularization is not technically possible--particularly when amputation is the only alternative. Prostanoids are the best-studied class of drugs for such applications, but their use is still investigational in the United States. Though other medical approaches, such as use of other vasoactive agents, drugs that treat claudication, or gene-induced angiogenesis may prove useful, they do not yet have demonstrated roles in the treatment of patients with CLI.

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“…It is a noninvasive method that is used to provide a quick, cost-effective and well-tolerated assessment of peripheral circulation. It can be used to map out arterial disease and its accuracy in doing so has been confirmed in the literature [1,2]. However, limitations exist when attempting to visualise iliac vessels in the pelvis [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Do Doppler waveforms at the common femoral artery accurately predict iliac stenosis?

et al. 2010

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Comparison of duplex imaging and arteriography in the evaluation of lower limb arteries

Abstract: Duplex ultrasonography is reliable in detecting arterial lesions in peripheral arteries and could be used routinely in the initial evaluation of patients with lower limb arterial disease.

Cited by 72 publications

References 22 publications

Utility of duplex ultrasound in detecting and grading de novo femoropopliteal lesions

Utility of duplex ultrasound in detecting and grading de novo femoropopliteal lesions

Critical limb ischemia

Do Doppler waveforms at the common femoral artery accurately predict iliac stenosis?

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