Multidetector CT angiography of infrainguinal arterial bypass.
Infrainguinal arterial bypass (IGAB) surgery is commonly performed in patients with claudication, critical limb ischemia, or other arterial problems in the lower extremities. An IGAB is constructed from different materials depending on the anatomy of the lesion and the availability of an autogenous vein. The ideal material for IGAB is the greater saphenous vein, especially for distal below-knee bypass. In patients with no available autogenous vein, IGAB can be performed by using different prosthetic materials or biologic grafts. After the surgery, periodic surveillance is performed with duplex ultrasonography and clinical assessment of peripheral pulses and ankle-brachial indexes. If complications are detected, further work-up is performed with conventional arteriography, multidetector computed tomographic (CT) angiography, or magnetic resonance angiography. CT angiography has become a powerful tool for assessing the potential early and late complications of IGAB and for planning further therapy in a fast, reliable, and noninvasive manner.
Lopera
Jorge E
JE
Department of Radiology, University of Texas Southwestern Medical Center, Dallas, USA. Lopera@uthscsa.edu
Trimmer
Clayton K
CK
Josephs
Shellie G
SG
Anderson
Matthew E
ME
Schuber
Scott
S
Li
Ruizong
R
Dolmatch
Bart
B
Toursarkissian
Boulos
B
D000792:Angiography / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003287:Contrast Media; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D023821:Limb Salvage; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011150:Popliteal Artery / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed
D003287:Contrast Media