Thromboembolic Complications of Angiography for Peripheral Arterial Disease: Prospective Assessment by Doppler Ultrasound

Radiology ◽  
1977 ◽  
Vol 122 (2) ◽  
pp. 459-461 ◽  
Author(s):  
Robert W. Barnes ◽  
Earlene E. Slaymaker ◽  
Francis J. Y. Hahn
2021 ◽  
pp. 154431672110303
Author(s):  
Sayan Sarkar ◽  
Shyam Mohan ◽  
Shakthi Parvathy

The purpose of this study is to analyze how accurate duplex ultrasonography using color Doppler and computed tomography (CT) angiography are in detection of peripheral arterial disease (PAD) in comparison with the Gold Standard of digital subtraction angiography (DSA). This is a single-center prospective, analytical study done on patients with symptoms of PAD referred to the Department of Radiodiagnosis of Medical Trust Hospital (n = 53). All patients were imaged with color Doppler, CT angiography, and DSA. The peak systolic velocity (PSV) ratio was calculated by Doppler ultrasound, and the percentage stenosis for the same vascular segments was calculated using CT angiography and DSA. To test the statistical significance between the results, chi-square test was used. A P value <.05 indicates statistical significance. The PSV ratio for each grade—normal (<1.5), mild (1.5-2.8), moderate (2.9-4.9), and severe (≥5)—and the percentage of stenosis for each grade observed on CT angiography—normal (<20% stenosis), mild (20%-49% stenosis), moderate (50%-74% stenosis), severe (75%-99% stenosis), and total occlusion (100% stenosis)—were found to be highly sensitive and specific with good positive predictive value, negative predictive value, and accuracy level when compared with DSA with narrow confidence intervals for each range. The P value was <.001 for both color Doppler and CT angiography. Computed tomography angiography can be an effective tool as an alternative to DSA for gradation of stenosis if the artifacts resulting from vascular calcification can be avoided. Duplex ultrasonography can be utilized for gradation of stenosis by using the value of PSV ratio and spectral pattern together. However, it can only act as an adjunct to CT angiography because it is incapable of imaging the full length of the arterial segments in 1 frame.


Author(s):  
Elena García-Rivera ◽  
Noelia Cenizo-Revuelta ◽  
María Antonia Ibáñez-Maraña ◽  
Liliana Fidalgo-Domingos ◽  
Isabel Estévez-Fernández ◽  
...  

Angiology ◽  
2007 ◽  
Vol 58 (5) ◽  
pp. 579-585 ◽  
Author(s):  
Mohamad E. Alnaeb ◽  
Vincent P. Crabtree ◽  
Adrien Boutin ◽  
Dimitri P. Mikhailidis ◽  
Alexander M. Seifalian ◽  
...  

2007 ◽  
Vol 188 (1) ◽  
pp. 169-175 ◽  
Author(s):  
Hannes A. Deutschmann ◽  
Helmut Schoellnast ◽  
Werner Temmel ◽  
Michael Deutschmann ◽  
Gerold Schwantzer ◽  
...  

2021 ◽  
Vol 12 (2) ◽  
pp. 147-157
Author(s):  
Iis Noventi ◽  
Siti Maimunah

Latar Belakang dan Tujuan: Peripheral Arterial Disease (PAD) adalah salah satu komplikasi yang sangat sering dari  makrovaskular. PAD merupakan manifestasi  dari aterosklerosis yang ditandai oleh penyakit penyumbatan atherosklerosis pada ekstermitas bawah. Denyut nadi kaki dipengaruhi juga oleh aktivitas fisik.Tujuan dari penelitian ini untuk mengetahui adanya perbedaan latihan Nordic Walking dan Brisk Walking terhadap perubahan sirkulasi arteri kaki(dorsalis pedis) pada penderita PAD. Metode: Metode penelitian ini adalah pretest-posttest control group design dan teknik acak sederhana digunakan untuk mengumpulkan subjek. Sebanyak 40 subjek  dariwarga RW 03 Karang Rejo Dua Kelurahan Wonokromo, terbagi dalam Kelompok Perlakuan I dengan jumlah 20 orang dan Kelompok Perlakuan II berjumlah 20 orang. Denyut nadi kaki diukurmenggunakan Simple Handheld Vascular Doppler Ultrasound Probe dan tensimeter.Hasil: Hasil penelitian menunjukkan bahwa pada Kelompok Perlakuan I terdapat perbedaan bermakna pada denyut nadi kaki dibandingkan pada Kelompok Perlakuan II (p=0,000).Simpulan dan Implikasi: Latihan Nordic Walking dapat menimbulkan perubahan denyut nadi kaki lebih besar dibandingkan latihan Brisk Walking. Dengan demikian nordic walking lebih disarankan diberikan pada pasien PAD untuk meningkatkan sirkulasi arteri kaki. simpulan dan implikasi: Latihan nordic walking dapat menimbulkan perubahan denyut nadi kaki lebih besar dibandingkan  latihan brisk walking. dengan demikian  nordic walking lebih disarankan diberikan pada pasien PAD untuk meningkatkan sirkulasi arteri kaki. 


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