Skip to main content
U.S. Department of Energy
Office of Scientific and Technical Information

Ankle-Arm Index, Angiography, and Duplex Ultrasonography After Recanalization of Occlusions in Femoropopliteal Arteries: Comparison of Long-Term Results

Journal Article · · Cardiovascular and Interventional Radiology
DOI:https://doi.org/10.1007/S002709900047· OSTI ID:21080524
 [1];  [2]
  1. Department of Radiology, University Hospital Utrecht, P.O. Box 85500, NL-3508 GA Utrecht (Netherlands)
  2. Department of Clinical Epidemiology, University Hospital Utrecht, P.O. Box 85500, NL-3508 GA Utrecht (Netherlands)
Purpose: Comparison of the relative values of the ankle-arm index (AAI) at rest and after exercise, angiography, and duplex ultrasonography for the follow-up of percutaneous transluminal angioplasty (PTA) in patients with peripheral vascular disease. Methods: Thirty-two patients were prospectively followed after technically and clinically successful PTA of a femoropopliteal occlusion. The patency of the femoropopliteal artery was assessed for 1 year using AAI measurements at rest and after exercise; duplex ultrasonography at 4, 12, 24, 36, and 52 weeks; and angiography at 3 and 12 months after PTA. Results: Patency was highly dependent on the measurement technique. The cumulative patency after 1 year determined with the AAI at rest and during exercise, by angiography, and by duplex ultrasonography was 74%, 19%, 31%, and 32%, respectively. Seventy-five percent of the restenoses occurred at the site of the treated occlusion. Conclusion: Duplex ultrasonography is most suitable for this assessment, as it causes no patient discomfort and the specificity is better than AAI after exercise because vascular disease in other, proximal segments does not interfere with the results.
OSTI ID:
21080524
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 4 Vol. 19; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

Similar Records

Percutaneous Transluminal Angioplasty and Enclosed Thrombolysis Versus Percutaneous Transluminal Angioplasty in the Treatment of Femoropopliteal Occlusions: Results of a Prospective Randomized Trial
Journal Article · Sat Nov 14 23:00:00 EST 1998 · Cardiovascular and Interventional Radiology · OSTI ID:21080354

Patterns of recurrent disease after recanalization of femoropopliteal artery occlusions
Journal Article · Tue Jul 15 00:00:00 EDT 1997 · Cardiovascular and Interventional Radiology · OSTI ID:21080206

Cryoplasty for Occlusive Disease of the Femoropopliteal Arteries: 1-Year Follow-Up
Journal Article · Sun Mar 15 00:00:00 EDT 2009 · Cardiovascular and Interventional Radiology · OSTI ID:21426297