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- Title
Aortoiliac and femoropopliteal lesions in patients with concomitant peripheral arterial disease and medial arterial calcifi cation.
- Authors
Crişan, Sorin; Crişan, Doiniţa; Vesa, Ştefan; Chirilă, Monica; Pestrea, Cătălin; Crişan, Iulia Maria
- Abstract
Objective: To characterize stenosis and/or occlusion in patients with concomitant peripheral arterial disease (PAD) and medial arterial calcification (MAC). Patients and methods: We performed continuous-wave Doppler technique (to measure the ankle-brachial index - ABI) and duplex ultrasonography in 75 consecutive patients at risk for PAD (57 males, age 72.6±6.3 years) admitted to a Medical Clinic between January and March 2006. Group A was composed of 15 subjects with plaques and ABI higher than 1.3 (MAC - 20%). Normal ABI was found in 43 patients (group B - 57.33%). Group C included 17 patients with ABI lower than 0.9 (ischemia - 22.67%). Results: Nonsignificant aortoiliac stenosis (less than 50%) was found in 70 subjects (15 in group A, 39 in group B, and 16 in group C - nonsignificant). Significant femoropopliteal stenosis (greater than 50%) was detected in eight patients (five in group A, one in group B, and two in group C - p<0.001). Nonsignificant femoropopliteal stenosis was identified in 54 subjects (seven in group A, 42 in group B, and five in group C - p<0.001). Conclusion: Significant femoropopliteal stenosis significantly correlated with presence of MAC. Nonsignificant femoropopliteal stenosis was identified in patients with normal ABI.
- Subjects
STENOSIS; ARTERIAL diseases; PATIENTS; ANKLE brachial index; ISCHEMIA diagnosis; DIAGNOSIS
- Publication
Medical Ultrasonography, 2009, Vol 11, Issue 4, p25
- ISSN
1844-4172
- Publication type
Article