title: Intravenous digital subtraction angiography in the management of peripheral vascular disease.
abstract: All patients undergoing peripheral injection intravenous digital subtraction angiography (ivDSA) for peripheral vascular disease during 1987 have been reviewed (140 patients). The radiological distribution of disease was aorto-iliac occlusive (AI) 36 (23%), femoropopliteal (FP) 68 (44%), mixed AI/FP 36 (23%). Clinical diagnosis was correct for AI disease in 92%, for FP disease in 65% and for mixed AI/FP disease in 47%. ivDSA was the only investigation required for management in 111 of all 140 patients (79%), and in 33 of the 36 patients with AI disease (92%), but was less accurate in defining femoropopliteal disease, 22 patients (32%) requiring additional arteriography. Conventional arteriography was performed in 200 patients in 1982 compared with 100 in 1987. ivDSA is particularly suitable for the investigation of AI disease, a condition which is accurately detected by clinical examination, with a reduction in morbidity and bed occupancy.
authors.affiliation: Department of Surgery, St. Thomas' Hospital, London, U.K.
authors.forename: N M
authors.initials: NM
authors.lastname: Wilson
authors.forename: O
authors.initials: O
authors.lastname: Chan
authors.forename: M L
authors.initials: ML
authors.lastname: Thomas
authors.forename: N L
authors.initials: NL
authors.lastname: Browse
mesh_terms: D015901:Angiography, Digital Subtraction; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000628:therapy; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D007479:Iopamidol; D007866:Leg / Q000098:blood supply*; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000628:therapy; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D012189:Retrospective Studies
chemical_list: D007479:Iopamidol