Colour-coded duplex imaging can safely replace diagnostic arteriography in patients with lower-limb arterial disease
Open Access
- 1 December 1996
- journal article
- research article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 83 (12), 1725-1728
- https://doi.org/10.1002/bjs.1800831221
Abstract
The purpose of this study was to review the outcome of adopting colour-coded duplex ultrasonography as the primary imaging modality in patients with symptomatic lower-limb arterial disease. Over a 12-month period 467 consecutive lower-limb duplex scans were performed of which 437 (94 per cent) were technically adequate. Of the 467 limbs, 184 (39 per cent) were managed conservatively, 230 (49 per cent) were referred for percutaneous transluminal angioplasty (PTA), 41 (9 per cent) underwent reconstructive surgery and 12 (3 per cent) required diagnostic arteriography. In patients referred for PTA there were only 22 (10 per cent) unexpected findings; there was agreement about superficial femoral artery occlusion length in 95 (89 per cent) of 107 limbs and about the presence or absence of a superficial femoral artery stump in 91 (85 per cent) of 107 cases. In patients referred for surgery there were no unexpected findings. Colour-coded duplex imaging can safely replace diagnostic arteriography in up to 97 per cent of lower limbs with arterial disease.Keywords
This publication has 20 references indexed in Scilit:
- Impact of ultrasonographic duplex scanning on therapeutic decision making in lower-limb arterial diseaseBritish Journal of Surgery, 1995
- Noninvasive localization of arterial occlusive disease: A comparison of segmental Doppler pressures and arterial duplex mappingJournal of Vascular Surgery, 1993
- Accuracy of lower extremity arterial duplex mappingJournal of Vascular Surgery, 1992
- Hemodynamic Assessment of Aortoiliac SegmentSurgical Clinics of North America, 1990
- Comparison of contrast arteriography to arterial mapping with color-flow duplex imaging in the lower extremitiesJournal of Vascular Surgery, 1989
- The potential of duplex scanning to replace aorto-iliac and femoro popliteal angiographyEuropean Journal of Vascular Surgery, 1989
- Duplex scanning for diagnosis of aortoiliac and femoropopliteal disease: a prospective study.Circulation, 1987
- Assessment of Aortoiliac Disease Using Hemodynamic MeasuresArchives of Surgery, 1985
- Complications of angiography.Radiology, 1981
- Ultrasonic flow detectionThe American Journal of Surgery, 1967