Usefulness of IV-DSA in Peripheral Arterial Obstructive Disease.
10.3348/jkrs.1994.30.6.1021
- Author:
Jae Boem NA
;
Do Yun LEE
;
Won Heum SHIM
- Publication Type:Original Article
- MeSH:
Angiography;
Angiography, Digital Subtraction;
Arterial Occlusive Diseases*;
Arteries;
Constriction, Pathologic;
Follow-Up Studies;
Humans;
Incidence;
Lower Extremity;
Mass Screening;
Perfusion;
Retrospective Studies;
Sensitivity and Specificity
- From:Journal of the Korean Radiological Society
1994;30(6):1021-1028
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was designed to evaluate usefulness of intravenous digital subtraction angiography (IV-DSA) in detection of peripheral arterial obstructive disease(PAOD) and in follow-up of percutaneous transluminal angioplasty(PTA). MATERIALS AND METHODS: 35 Patients who had clinical symptoms and signs of compromised lower extremity perfusion, was screened with IV-DSA and then performed confirmative conventional angiography. We obtained sensitivity, specificity and accuracy of IV-DSA by comparing the findings of IV-DSA with those of conventional angiography. 21 patients who had been performed successful PTA, were foliowed-up with IV-DSA in 3, 6, 12months. We studied patency rate and factors that influenced restenosis. RESULTS: The sensitivity, specificity and accuracy of IV-DSA were 100%, 97%, 97% in lilac artery, 92%, 96%, 93% in femoropopliteal artery, 85%, 75%, 70% in proximal tibioperoneal artery retrospectively. IV-DSA follow up after PTA showed patency rate of 67% in first 3month, 67% in 2nd 3month, 60% in next 6month. Longer length and more irregular surface of the stenotic site, and higher incidence of run-off of vessel and of residual stenosis in the patients with restenosis were noted. CONCLUSION: High sensitivity, specificity and accuracy of IV-DSA in evaluating PAOD suggest that IV-DSA is useful in screening, planning therapy and following up after PTA.
