Preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia

AIM: To determine whether duplex ultrasonography (DU) without verification with diagnostic angiography (DA) is a sufficient visual- ization technique for pre-operative examination of patients with CLI (critical limb ischemia) indication for percutaneous transluminal balloon angioplasty (PTBA). MATE...

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Autores principales:	Olga Nikolaevna Bondarenko, N L Ayubova, Gagik Radikovich Galstyan, Ivan Ivanovich Dedov
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2013
Materias:	duplex ultrasonography critical limb ischemia percutaneous transluminal angioplasty diabetes mellitus Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/447642cb299a4ddc9904efe8a79cbc4f
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spelling	oai:doaj.org-article:447642cb299a4ddc9904efe8a79cbc4f2021-11-14T09:00:18ZPreoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia2072-03512072-037810.14341/2072-0351-3756https://doaj.org/article/447642cb299a4ddc9904efe8a79cbc4f2013-06-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/3756https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378AIM: To determine whether duplex ultrasonography (DU) without verification with diagnostic angiography (DA) is a sufficient visual- ization technique for pre-operative examination of patients with CLI (critical limb ischemia) indication for percutaneous transluminal balloon angioplasty (PTBA). MATERIALS AND METHODS: We examined 254 patients (290 limbs in total) with diabetes mellitus (DM) and CLI. All participants were subdivided into two groups: ?A? (PTBA with pre-operative DU+DA) and ?B? (PTBA with pre-operative DU). We evaluated data coherence between DU and DA (pre- or intraoperative) methods, as well as DU diagnostic specificity and sensitivity in determining degree and localization of vascular lesions. We also investigated specific clinical factors compromising DU diagnostic capabilities in patients with DM. RESULTS: Our data suggests adequate coherence between DU and DA for pre-operative visualization. Group ?B? showed significantly higher diagnostic sensitivity and specificity for visualization of the lower third of superficial femoral artery and tibial arteries despite abdominal obesity, grossly evident calcification and peripheral edema. CONCLUSION: Duplex ultrasound is efficient and precise enough to determine optimal management tactics in most patients with DMand CLI without resort to invasive methods.Olga Nikolaevna BondarenkoN L AyubovaGagik Radikovich GalstyanIvan Ivanovich DedovEndocrinology Research Centrearticleduplex ultrasonographycritical limb ischemiapercutaneous transluminal angioplastydiabetes mellitusNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 16, Iss 2, Pp 52-61 (2013)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	duplex ultrasonography critical limb ischemia percutaneous transluminal angioplasty diabetes mellitus Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	duplex ultrasonography critical limb ischemia percutaneous transluminal angioplasty diabetes mellitus Nutritional diseases. Deficiency diseases RC620-627 Olga Nikolaevna Bondarenko N L Ayubova Gagik Radikovich Galstyan Ivan Ivanovich Dedov Preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia
description	AIM: To determine whether duplex ultrasonography (DU) without verification with diagnostic angiography (DA) is a sufficient visual- ization technique for pre-operative examination of patients with CLI (critical limb ischemia) indication for percutaneous transluminal balloon angioplasty (PTBA). MATERIALS AND METHODS: We examined 254 patients (290 limbs in total) with diabetes mellitus (DM) and CLI. All participants were subdivided into two groups: ?A? (PTBA with pre-operative DU+DA) and ?B? (PTBA with pre-operative DU). We evaluated data coherence between DU and DA (pre- or intraoperative) methods, as well as DU diagnostic specificity and sensitivity in determining degree and localization of vascular lesions. We also investigated specific clinical factors compromising DU diagnostic capabilities in patients with DM. RESULTS: Our data suggests adequate coherence between DU and DA for pre-operative visualization. Group ?B? showed significantly higher diagnostic sensitivity and specificity for visualization of the lower third of superficial femoral artery and tibial arteries despite abdominal obesity, grossly evident calcification and peripheral edema. CONCLUSION: Duplex ultrasound is efficient and precise enough to determine optimal management tactics in most patients with DMand CLI without resort to invasive methods.
format	article
author	Olga Nikolaevna Bondarenko N L Ayubova Gagik Radikovich Galstyan Ivan Ivanovich Dedov
author_facet	Olga Nikolaevna Bondarenko N L Ayubova Gagik Radikovich Galstyan Ivan Ivanovich Dedov
author_sort	Olga Nikolaevna Bondarenko
title	Preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia
title_short	Preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia
title_full	Preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia
title_fullStr	Preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia
title_full_unstemmed	Preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia
title_sort	preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia
publisher	Endocrinology Research Centre
publishDate	2013
url	https://doaj.org/article/447642cb299a4ddc9904efe8a79cbc4f
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Preoperative visualization of peripheral arteries with duplex ultrasonography in patients with diabetes mellitus and critical limb ischemia

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