Infrarenal Aortic and Lower-Extremity Arterial Disease: Diagnostic Performance of Multi–Detector Row CT Angiography

Catalano, Carlo; Fraioli, Francesco; Laghi, Andréa; Napoli, Alessandro; Bezzi, Mario; Pediconi, Federica; Danti, Massimiliano; Nofroni, Italo; Passariello, Roberto

doi:10.1148/radiol.2312020920

Cited by 209 publications

(131 citation statements)

References 23 publications

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“…There are studies in the literature showing an excellent concordance between the multislice CT and digital subtraction angiography (11)(12)(13). In our experience, CTA is a particularly useful initial diagnostic tool in iatrogenic complications, particularly in identifying the site of arterial injuries in patients with retroperitoneal hemorrhages.…”

Section: Discussionmentioning

confidence: 56%

Iliac vascular complication after spinal surgery: immediate endovascular repair following CT angiographic diagnosis

Akpinar

Peynircioğlu²,

Çil³

et al. 2007

Diagn Interv Radiol

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Iliac arterial injuries are rare but important complications that can develop after spinal surgery. The presentation of these injuries is usually late, with symptoms such as leg swelling or cardiac failure. However, acute massive bleeding may be a sign of early presentation as in our patient. Herein, we present a case of life-threatening bleeding with early computed tomography angiographic diagnosis of common iliac artery pseudoaneurysm and iliac arteriovenous fistula secondary to spinal surgery which was successfully managed by endovascular stent graft treatment.

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Section: Discussionmentioning

confidence: 56%

Iliac vascular complication after spinal surgery: immediate endovascular repair following CT angiographic diagnosis

Akpinar

Peynircioğlu²,

Çil³

et al. 2007

Diagn Interv Radiol

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“…Such a low proportion of consistency is clearly different from the results obtained by other authors. For CT scans, 97% sensitivity, 97% specificity, and 94% correctness were found in detection of significant lesions and occlusions (21,22). Most often interpretation errors and issues were related to assessments of normal vessel sections and detection of stenoses.…”

Section: A' B'mentioning

confidence: 99%

The Use of Duplex Ultrasound Arterial Mapping (DUAM) and Preoperative Diagnostics in Patients with Atherosclerotic Ischaemia of Lower Extremities

Gabriel

Pawlaczyk²,

Szajkowski³

et al. 2012

Polish Journal of Surgery

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In spite of the fact duplex Doppler ultrasonography is recognized as an scanning technique equivalent to other imaging methods for preoperative diagnostics of the lower extremity arteries, in many centres its use is limited to screening. the aim of the study was to the determine usefulness of arterial duplex mapping for preoperative diagnostics in patients with peripheral artery occlusive disease (PAoD) material and methods. In 2008-2009, 103 patients with PAoD symptoms (129 limbs) were examined in a prospective, non-randomized study. DUAM was performed in all limbs, DSA in 90, CT-angio in 29, and revascularisation procedures in 116 limbs. Results. Problems with completing DUAM occurred in 10,1% of cases, including 1.5% of examinations of no diagnostic value. Consistency of DUAM and DSA results was found in 94.6% of cases, and consistency of DUAM results and the range of actually performed ranges was found in 97.8% of cases. Consistency of DUAM and CT-angio results was recorded in 68.0% of cases. The comparison between individual examinations and the actually performed procedures showed consistency of 96.5% for DUAM and 72.4% for CT-angio. conclusions. DUAM usefulness for detecting and defining lesions in lower extremity arteries is similar to that of DSA and CT-angio. This examination may be successfully used in preoperative diagnostics, particularly for intravascular procedures, which makes possible to reduce exposition to radiation and minimalize diagnostics costs.

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“…The study in this group that reported the highest sensitivity (99%), specificity (97%) and LR+ (37.1) and the lowest LR-(0.01) 26 was one of two studies that scored 12 out of 13 on the quality assessment, and reported recruiting an appropriate patient spectrum. The other high-quality study reported the next highest sensitivity (97%).…”

Section: Whole Legmentioning

confidence: 99%

“…26,38,54,[57][58][59][60] The full set of diagnostic accuracy results is presented in Table 8. All the studies presented the results on an arterial segment basis.…”

Section: Ctamentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of duplex ultrasound, magnetic resonance angiography and computed tomography angiography for the diagnosis and assessment of symptomatic, lower limb peripheral arterial disease

2008

Clinical Governance: An International Journal

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Infrarenal Aortic and Lower-Extremity Arterial Disease: Diagnostic Performance of Multi–Detector Row CT Angiography

Abstract: Multi-detector row CT angiography appears consistent and accurate in the assessment of patients with peripheral arterial occlusive disease.

Cited by 209 publications

References 23 publications

Iliac vascular complication after spinal surgery: immediate endovascular repair following CT angiographic diagnosis

Iliac vascular complication after spinal surgery: immediate endovascular repair following CT angiographic diagnosis

The Use of Duplex Ultrasound Arterial Mapping (DUAM) and Preoperative Diagnostics in Patients with Atherosclerotic Ischaemia of Lower Extremities

A systematic review of duplex ultrasound, magnetic resonance angiography and computed tomography angiography for the diagnosis and assessment of symptomatic, lower limb peripheral arterial disease

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