Accuracy Of Multi-Detector Computed Tomography in Assessment of Lower Limb Peripheral Arterial Diseases in Diabetic Patients

Misbah Salim Ali, Ayman Fathi Zied, Ahmed Abdelhamid Mohammed, Ahmed Gamil Ibrahim Abdelmegid
2022 The Egyptian Journal of Hospital Medicine  
The risk of peripheral arterial disease is significantly increased among diabetic individuals, as presented through multidetector computed tomography angiography (MDCT). There are numerous benefits to choosing this path. Objective: To evaluate the lower limb arteries by multidetector computed tomography angiography. Patients and methods: MDCT examinations were performed on 24 diabetic patients who presented with signs and symptoms of lower limb ischemia; MDCT will be performed with PHILIPS
more » ... uity 128 slice CT scanner. For stenosis, occlusion, calcification, plaque structure, collaterals, transverse, maximum intensity projection, multi-planar, and volume-rendering images were used. Results: At least 22 segments had severe stenosis, defined as luminal narrowing of more than 50% and PSV ratio of more than 2, Fifty segments were occluded, eight had no distal collateral refilling, and five had nonsignificant stenosis (luminal constriction lower than 50% of arterial diameter and PSV lower than ratio 2). Conclusion: MDCT for evaluation of lower limb ischemia should be considered as the investigation of choice for preoperative assessment & follow-up; being less invasive and provides angiography-like high-resolution images which are familiar to vascular surgeons.
doi:10.21608/ejhm.2022.239195 fatcat:ffmgfzchzjga7aftcy7xrthyrm