Ali, M., Zied, A., Mohammed, A., Abdelmegid, A. (2022). Accuracy Of Multi-Detector Computed Tomography in Assessment of Lower Limb Peripheral Arterial Diseases in Diabetic Patients. The Egyptian Journal of Hospital Medicine, 88(1), 2571-2577. doi: 10.21608/ejhm.2022.239195
Misbah Salim Ali; Ayman Fathi Zied; Ahmed Abdelhamid Mohammed; Ahmed Gamil Ibrahim Abdelmegid. "Accuracy Of Multi-Detector Computed Tomography in Assessment of Lower Limb Peripheral Arterial Diseases in Diabetic Patients". The Egyptian Journal of Hospital Medicine, 88, 1, 2022, 2571-2577. doi: 10.21608/ejhm.2022.239195
Ali, M., Zied, A., Mohammed, A., Abdelmegid, A. (2022). 'Accuracy Of Multi-Detector Computed Tomography in Assessment of Lower Limb Peripheral Arterial Diseases in Diabetic Patients', The Egyptian Journal of Hospital Medicine, 88(1), pp. 2571-2577. doi: 10.21608/ejhm.2022.239195
Ali, M., Zied, A., Mohammed, A., Abdelmegid, A. Accuracy Of Multi-Detector Computed Tomography in Assessment of Lower Limb Peripheral Arterial Diseases in Diabetic Patients. The Egyptian Journal of Hospital Medicine, 2022; 88(1): 2571-2577. doi: 10.21608/ejhm.2022.239195
Accuracy Of Multi-Detector Computed Tomography in Assessment of Lower Limb Peripheral Arterial Diseases in Diabetic Patients
Background: 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 ingenuity 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 pre-operative assessment & follow-up; being less invasive and provides angiography-like high-resolution images which are familiar to vascular surgeons.
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