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Advanced Imaging in Limb Salvage

Authors:

Cassidy Duran ,

Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, US
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M.D.
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Jean Bismuth

Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, US
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M.D.
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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 CO2 angiography). Here we describe these advanced invasive and noninvasive imaging alternatives and their utility in limb salvage procedures.

How to Cite: 1. Duran C, Bismuth J. Advanced Imaging in Limb Salvage. Methodist DeBakey Cardiovascular Journal. 2012;8(4):28-32. DOI: http://doi.org/10.14797/mdcj-8-4-28
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Published on 01 Oct 2012.
Peer Reviewed

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