Imaging appearances of Buerger's disease complications in the upper and lower limbs

Dimmick, Simon; Goh, A.; Cauzza, E.; Steinbach, Lynne S.; Baumgartner, Iris; Stauffer, Edouard; Voegelin, Esther; Anderson, Suzanne E.

doi:10.1016/j.crad.2012.04.005

Cited by 26 publications

(19 citation statements)

References 20 publications

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“…Corkscrew-shaped collaterals known as Martorelli's sign can be useful for diagnosis (1-3). However, this finding is also not specific for TAO, and may also be seen in systemic lupus erythematosis, mixed connective tissue disease, scleroderma, CREST syndrome or any other obstructive disease with small vessel occlusion (10). Use can frequently be made in clinical diagnosis of the criteria published by Shionoya in 1998 (smoking history, onset before the age of 50 years, infrapopliteal arterial occlusions, either arm involvement or phlebitis migrans, and absence of atherosclerotic risk factors other than smoking) (6).…”

Section: Resultsmentioning

confidence: 99%

An evaluation of the neutrophil-to-lymphocyte ratio as a prognostic and predictive marker in thromboangiitis obliterans

Altun¹,

Hemsinli²

2017

J Turgut Ozal Med Cent

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Aim: The aim of this study was to investigate whether the neutrophil/lymphocyte ratio is an independent predictor of poor prognosis, mortality, co-morbidities, critical limb ischmemia, amputation, or a potential prognostic biomarker predicting pathological and survival outcomes in thromboangiitis obliterans. We also investigated whether there was any relation between an increased neutrophil/lymphocyte ratio in patients with Buerger's disease and amputation, the ultimate outcome of poor prognosis. Material and Methods:The hospital records of patients treated, followed-up and diagnosed with thromboangiitis obliterans were analyzed retrospectively. Surgical procedures performed and medical treatments applied were recorded from patients' clinical data. Extremities exposed to the disease during its course were identified. Amputations were recorded as minor and major. Neutrophil and lymphocyte values were recorded from peripheral blood samples at time of first presentation to hospital, with the neutrophil/ lymphocyte ratio being calculated from these. One hundred ten subjects were finally enrolled as the patient group (TAO; n=110). A control group (n=49) was established consisting of smoker volunteers with no health problems. Statistical changes in neutrophil/ lymphocyte ratio values between the groups were investigated. Results: No statistically significant difference was observed between the two groups' basic characteristics. In terms of neutrophil/ lymphocyte ratio values, a statistically significant increase was observed in the patient group compared to the control group. We observed no statistical correlation between amputations and neutrophil/lymphocyte ratio values. Conclusions: We think that the neutrophil / lymphocyte ratio, obtained easily and cheaply from routine peripheral blood samples, may be of clinical benefit in thromboangiitis obliterans.

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Section: Resultsmentioning

confidence: 99%

An evaluation of the neutrophil-to-lymphocyte ratio as a prognostic and predictive marker in thromboangiitis obliterans

Altun¹,

Hemsinli²

2017

J Turgut Ozal Med Cent

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“…63 MRA may identify segmental stenoses or occlusions, collateral vessels adjacent to sites of occlusion, or a proximal source of embolic disease or may assist in excluding other vasculitides. 64,65 A corkscrew appearance of the digital arteries is often seen, although these findings are not pathognomonic for thromboangiitis obliterans. Therefore, MRA plays an important, albeit ancillary, role in establishing the diagnosis as well as defining the extent and severity of disease.…”

Section: Thromboangiitis Obliteransmentioning

confidence: 94%

Magnetic Resonance Angiography of the Upper Extremity

Bannas

François

Reeder

2015

Magnetic Resonance Imaging Clinics of North America

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“…Accurate vascular imaging relies upon visualization of the vessel lumen, vessel wall, and surrounding soft-tissue structures, with some modalities also offering the ability to characterize blood flow direction and velocity. Furthermore, nonvascular findings are often paramount in supporting a suspected clinical syndrome [1][2][3][4] or guiding surgical management [5][6][7][8].…”

Section: Methodsmentioning

confidence: 99%

ACR Appropriateness Criteria® Nonatherosclerotic Peripheral Arterial Disease

Imaging¹,

François

Skulborstad

et al. 2019

Journal of the American College of Radiology

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A broad range of nonatherosclerotic diseases affect the peripheral arteries. The appropriate initial diagnostic imaging studies vary, depending upon the clinical presentation and suspicion of disease. Accurate vascular imaging relies upon visualization of the vessel lumen, vessel wall, and surrounding soft-tissue structures, with some modalities also offering the ability to characterize blood flow direction and velocity. Furthermore, nonvascular findings are often paramount in supporting a suspected clinical syndrome or guiding surgical management. The scenarios discussed in this document include the initial evaluation of suspected popliteal entrapment syndrome, external iliac artery endofibrosis, lower-extremity inflammatory vasculitides, dissection or connective tissue disease, noninflammatory vascular disease, and vascular trauma.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.Disclaimer: The ACR Committee on Appropriateness Criteria and its expert panels have developed criteria for determining appropriate imaging examinations for diagnosis and treatment of specified medical condition(s). These criteria are intended to guide radiologists, radiation oncologists, and referring physicians in making decisions regarding radiologic imaging and treatment. Generally, the complexity and severity of a patient's clinical condition should dictate the selection of appropriate imaging procedures or treatments. Only those examinations generally used for evaluation of the patient's condition are ranked. Other imaging studies necessary to evaluate other co-existent diseases or other medical consequences of this condition are not considered in this document. The availability of equipment or personnel may influence the selection of appropriate imaging procedures or treatments. Imaging techniques classified as investigational by the FDA have not been considered in developing these criteria; however, study of new equipment and applications should be encouraged. The ultimate decision regarding the appropriateness of any specific radiologic examination or treatment must be made by the referring physician and radiologist in light of all the circumstances presented in an individual examination.

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Imaging appearances of Buerger's disease complications in the upper and lower limbs

Cited by 26 publications

References 20 publications

An evaluation of the neutrophil-to-lymphocyte ratio as a prognostic and predictive marker in thromboangiitis obliterans

An evaluation of the neutrophil-to-lymphocyte ratio as a prognostic and predictive marker in thromboangiitis obliterans

Magnetic Resonance Angiography of the Upper Extremity

ACR Appropriateness Criteria® Nonatherosclerotic Peripheral Arterial Disease

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