CT angiography and magnetic resonance angiography findings after surgical and interventional radiology treatment of peripheral arterial obstructive disease

Anzidei, Michele; Lucatelli, Pierleone; Napoli, Alessandro; Jens, Sjoerd; Saba, Luca; Cartocci, Gaia; Sedati, Pietro; d’Adamo, Alessandro; Catalano, Carlo

doi:10.1016/j.jcct.2015.01.007

Cited by 7 publications

(2 citation statements)

References 39 publications

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“…For its diagnosis, the ankle-brachial index (ABI) is reported as a cheap and non-invasive test [71]. Suspicious scores of 0.9 or less implicate further diagnosis of PAOD [72][73][74] by MRA or CTA [75,76]. According to the literature, findings of preoperative clinical examination of the vascular system with ABI were not predictive of a problem when color flow Doppler sonography and angiography results were not physiological [77][78][79].…”

Section: What Is the Prevalence Of Vascular Anomalies In The Present Sample?mentioning

confidence: 99%

Computed Tomography Angiography (CTA) before Reconstructive Jaw Surgery Using Fibula Free Flap: Retrospective Analysis of Vascular Architecture

et al. 2021

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Computed tomography angiography (CTA) is widely used in preoperative evaluation of the lower limbs’ vascular system for virtual surgical planning (VSP) of fibula free flap (FFF) for jaw reconstruction. The present retrospective clinical study analysed n = 72 computed tomography angiographies (CTA) of lower limbs for virtual surgical planning (VSP) for jaw reconstruction. The purpose of the investigation was to evaluate the morphology of the fibular bone and its vascular supply in CTA imaging, and further, the amount and distribution of periosteal branches (PB) and septo-cutaneous perforators (SCPs) of the fibular artery. A total of 144 lower limbs was assessed (mean age: 58.5 ± 15.3 years; 28 females, 38.9%; 44 males, 61.1%). The vascular system was categorized as regular (type I-A to II-C) in 140 cases (97.2%) regarding the classification by Kim. Absent anterior tibial artery (type III-A, n = 2) and posterior tibial artery (type III-B, n = 2) were detected in the left leg. Stenoses were observed mostly in the fibular artery (n = 11), once in the anterior tibial artery, and twice in the posterior tibial artery. In total, n = 361 periosteal branches (PBs) and n = 231 septo-cutaneous perforators (SCPs) were recorded. While a distribution pattern for PBs was separated into two clusters, a more tripartite distribution pattern for SCPs was found. We conclude that conventional CTA for VSP of free fibula flap (FFF) is capable of imaging and distinguishing SCPs and PBs.

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Section: What Is the Prevalence Of Vascular Anomalies In The Present Sample?mentioning

confidence: 99%

Computed Tomography Angiography (CTA) before Reconstructive Jaw Surgery Using Fibula Free Flap: Retrospective Analysis of Vascular Architecture

et al. 2021

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“…Because contemporary CT units offer a very good spatial resolution, CTA enables a precise measurement of arterial diameters, detection of re-stenosis, as well as detection local PTA complications. However, due to the static nature of the modality, CTA may not properly present arteries in the case of severe heart failure or multi-level occlusions [31]. Another limitation of CTA is the risk of contrast-induced acute kidney injury (CI-AKI) [28] and potentially cancerogenous cumulative radiation dose [32], especially when imaging is repeated at follow-up.…”

Section: Follow-up Methodsmentioning

confidence: 99%

Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions

Michalska¹,

Kazimierczak²,

Leszczyński³

et al. 2018

Pol J Radiol

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Atherosclerotic disease is currently one of the most important problems of modern medicine because it is a leading cause of increased morbidity, morbidity and mortality, and disability in the Western World. Atherosclerosis of the lower limbs (peripheral arterial disease – PAD) significantly affects the quality of life and in a considerable proportion of patients is a cause of disability. Radical treatment of PAD, both surgical and endovascular, aims at revascularisation of ischaemic tissues distal to obstructed arteries. Surveillance imaging is an important part of patient management after endovascular repair of PAD. Apart from availability and contraindications, challenges of imaging include calcifications, flow dynamics, and stent-related artefacts. The aim of this paper was to review the current literature on imaging methods for follow-up after endovascular repair of atherosclerotic lesions, with special attention paid to novel techniques. As a non-invasive modality, ultrasound is still the first-line examination, but computed tomography angiography remains a current state-of-the art technique for follow-up. However, since current imaging recommendations seem not to adhere to contemporary imaging possibilities, more attention should be paid to recent improvements in magnetic resonance angiography technology.

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Non-enhanced, ECG-gated MR angiography of the pedal vasculature: comparison with contrast-enhanced MR angiography and digital subtraction angiography in peripheral arterial occlusive disease

et al. 2015

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CT angiography and magnetic resonance angiography findings after surgical and interventional radiology treatment of peripheral arterial obstructive disease

Cited by 7 publications

References 39 publications

Computed Tomography Angiography (CTA) before Reconstructive Jaw Surgery Using Fibula Free Flap: Retrospective Analysis of Vascular Architecture

Computed Tomography Angiography (CTA) before Reconstructive Jaw Surgery Using Fibula Free Flap: Retrospective Analysis of Vascular Architecture

Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions

Non-enhanced, ECG-gated MR angiography of the pedal vasculature: comparison with contrast-enhanced MR angiography and digital subtraction angiography in peripheral arterial occlusive disease

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