Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2012 Oct-Dec;8(4):28-32.
doi: 10.14797/mdcj-8-4-28.

Advanced imaging in limb salvage

Cassidy Duran  1 , Jean Bismuth
Affiliations
Review

Advanced imaging in limb salvage

Cassidy Duran et al. Methodist Debakey Cardiovasc J. 2012 Oct-Dec.

Abstract

The evaluation of patients at risk for limb loss secondary to peripheral arterial disease begins with a complete history and physical exam, and noninvasive studies in the vascular lab, including duplex ultrasonography. However, successful revascularization depends on high-quality, accurate imaging of the lower extremity vasculature. The traditional gold standard for vascular imaging, digital subtraction angiography, has been improved upon as technologic advances have enabled high-quality alternatives for preoperative (i.e., computed tomography [CT] angiography and magnetic resonance angiography [MRA]) and intraoperative imaging (i.e., intravascular ultrasound [IVUS], cone beam CT, and CO(2) angiography). Here we describe these advanced invasive and noninvasive imaging alternatives and their utility in limb salvage procedures.

Keywords: Imaging; Limb Salvage; Peripheral Artery Disease.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Figure 2
Figure 2
Figure 3
Figure 3
Figure 4
Figure 4
Figure 5
Figure 5
See this image and copyright information in PMC

References

    1. Kashyap VS, Pavkov ML, Bishop PD, Nassoiy SP, Eagleton MJ, Clair DG, et al. Angiography underestimates peripheral atherosclerosis: lumenography revisited. J Endovasc Ther. 2008;15(1):117–25. - PMC - PubMed
    1. Schoenhagen P, White RD, Nissen SE, Tuzcu EM. Coronary imaging: angiography shows the stenosis but IVUS, CT, and MRI show the plaque. Cleve Clin J Med. 2003;70(8):713–9. - PubMed
    1. Baba R, Konno Y, Ueda K, Ikeda S. Comparison of flat-panel detector and image-intensifier detector for cone-beam CT. Comput Med Imaging Graph. 2002;26(3):153–8. - PubMed
    1. Kalender WA, Kyriakou Y. Flat-detector computed tomography (FD-CT). Eur Radiol. 2007;17(11):2767–79. - PMC - PubMed
    1. Bandyk DF. Surveillance after lower extremity arterial bypass. Perspect Vasc Surg Endovasc Ther. 2007;19(4):376–83. - PubMed