Aorto-femoral digital subtraction angiography in old patients with symptoms of peripheral arterial disease. Findings, efficacy, and consequences.
Seventy-four patients between the ages of 75 and 88, with disabling intermittent claudication or critically ischaemic legs underwent an aorto-femoral digital subtraction angiography (DSA). Thirty-six procedures were intraarterial and 38 were intravenous. There were no major complications. The degree and localisation of the arterial lesions did not differ from earlier reports based on conventional arteriography. In 67 patients, on the basis of the DSA examination, a decision could be made as to whether vascular surgery was feasible. In 28 of 57 non-diabetic patients (49%), invasive treatment was carried out in the form of vascular reconstruction, thromboembolectomy, or percutaneous transluminal angioplasty. None of the 17 diabetic patients could be treated invasively.
Mantoni
M Y
MY
Department of Radiology, Bispebjerg Hospital, Copenhagen.
Holstein
P
P
D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology; D015901:Angiography, Digital Subtraction; D015906:Angioplasty, Balloon, Coronary; D001011:Aorta; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy; D001161:Arteriosclerosis / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy; D005260:Female; D005263:Femoral Artery; D006801:Humans; D008297:Male