Has arteriography gotten a bad name? Current accuracy and morbidity of diagnostic contrast arteriography for aortoiliac and lower extremity arterial disease.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8703941 Publication Model: Print Cited Medium: Print ISSN: 0890-5096 (Print) Linking ISSN: 08905096 NLM ISO Abbreviation: Ann Vasc Surg Subsets: MEDLINE
    • Publication Information:
      Publication: <2007->: Netherlands : Elsevier
      Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986-
    • Subject Terms:
      Angiography*/methods ; Aortography* ; Diagnostic Techniques, Surgical* ; Iliac Artery*/diagnostic imaging; Arterial Occlusive Diseases/*diagnosis ; Leg/*diagnostic imaging; Adult ; Aged ; Aged, 80 and over ; Arterial Occlusive Diseases/epidemiology ; Creatinine/blood ; Female ; Femoral Artery/diagnostic imaging ; Humans ; Leg/blood supply ; Male ; Middle Aged ; Morbidity ; Pennsylvania/epidemiology ; Renal Artery/diagnostic imaging ; Retrospective Studies
    • Abstract:
      Recently, contrast arteriography has been challenged as the diagnostic test of choice for lower extremity arterial disease because of its associated morbidity and questionable accuracy in identifying suitable distal outflow arteries. The purpose of this report was to analyze our experience to determine if these concerns were justified. We reviewed 500 consecutive contrast arteriograms performed at our hospital for aortoiliac and lower extremity arterial disease between November 1994 and November 1998. Arteriograms performed in conjunction with therapeutic procedures such as balloon angioplasty, stent placement, and thrombolysis were excluded, leaving 244 diagnostic cases for analysis. Forty-six percent (112) of patients had diabetes mellitus, 14% (34) had an elevated baseline serum creatinine (> or =1.5 mg/dL), and an additional 7% (17) were dialysis dependent. Radiologists limited contrast volume by imaging only the symptomatic extremity when appropriate and using digital subtraction techniques as indicated. Our results showed that diagnostic contrast arteriography is associated with an acceptably low morbidity, has an accuracy that is unlikely to be surpassed by other modalities, and remains the diagnostic test of choice for lower extremity arterial disease.
    • Accession Number:
      AYI8EX34EU (Creatinine)
    • Publication Date:
      Date Created: 20010830 Date Completed: 20011221 Latest Revision: 20171118
    • Publication Date:
      20240829
    • Accession Number:
      10.1007/s100160010114
    • Accession Number:
      11525530