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CT Angiography of the Peripheral Arteries

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Multislice CT

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Continued advances in computed tomographic angiography (CTA) over the years have facilitated an increasing role of CTA in evaluating the arteries of the upper and lower extremities. Current applications of peripheral arterial CTA include arterial occlusive disease, aneurysmal disease, trauma, vasculitis, arteriovenous fistulae and malformations, vascular compression and entrapment syndromes, and surgical planning (Cook 2016; Dave and Fleischmann 2016).

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References

  • Ahmed S, Raman SP, Fishman EK (2016) Three-dimensional MDCT angiography for the assessment of arteriovenous grafts and fistulas in hemodialysis access. Diagn Interv Imaging 97(3):297–306

    CAS  PubMed  Google Scholar 

  • Allison MA, Criqui MH, McClelland RL, Scott JM, McDermott MM, Liu K, Folsom AR, Bertoni AG, Sharrett AR, Homma S, Kori S (2006) The effect of novel cardiovascular risk factors on the ethnic-specific odds for peripheral arterial disease in the Multi-Ethnic Study of Atherosclerosis (MESA). J Am Coll Cardiol 48:1190–1197

    PubMed  Google Scholar 

  • Anil G, Kiang-Hiong T, Tse-Chiang H et al (2010) Dynamic computed tomography angiography: role in the evaluation of popliteal artery entrapment syndrome. Cardiovasc Intervent Radiol 34(2):259–270

    PubMed  Google Scholar 

  • Catalano C, Fraioli F, Laghi A, Napoli A, Bezzi M, Pediconi F et al (2004) Infrarenal aortic and lower-extremity arterial disease: diagnostic performance of multi-detector row CT angiography. Radiology 231(2):555–563

    PubMed  Google Scholar 

  • Cook TS (2016) Computed tomography angiography of the lower extremities. Radiol Clin North Am 54(1):115–130

    PubMed  Google Scholar 

  • Criqui MH, Aboyans V (2015) Epidemiology of peripheral artery disease. Circ Res 116:1509–1526

    CAS  PubMed  Google Scholar 

  • CTisus (n.d.) http://www.ctisus.com/. Accessed 18 Dec 2017

  • Dave RB, Fleischmann D (2016) Computed tomography angiography of the upper extremities. Radiol Clin North Am 54(1):101–114

    PubMed  Google Scholar 

  • Demondion X, Herbinet P, Van Sint Jan S et al (2006) Imaging assessment of thoracic outlet syndrome. Radiographics 26:1735–1750

    PubMed  Google Scholar 

  • Duan Y, Wang X, Yang X et al (2013) Diagnostic efficiency of low-dose CT angiography compared with conventional angiography in peripheral arterial occlusions. Am J Roentgenol 201:W906–W914

    Google Scholar 

  • Edwards AJ, Wells IP, Roobottom CA (2005) Multidetector row CT angiography of the lower limb arteries: a prospective comparison of volume-rendered techniques and intra-arterial digital subtraction angiography. Clin Radiol 60:85–95

    CAS  PubMed  Google Scholar 

  • Fleischmann D, Kamaya A (2009) Optimal vascular and parenchymal contrast enhancement: the current state of the art. Radiol Clin North Am 47(1):13–26

    PubMed  Google Scholar 

  • Fleischmann D, Lammer J (2006) Peripheral CT angiography for interventional treatment planning. Eur Radiol Suppl 16(Suppl 7):M58–M64

    Google Scholar 

  • Foster BR, Anderson SW, Uyeda JW, Brooks JG, Soto JA (2011) Integration of 64-detector lower extremities CT into whole-body trauma imaging: feasibility and early experience. Radiology 261:787–795

    PubMed  Google Scholar 

  • Fowkes FG, Rudan D, Rudan I, Aboyans V, Denenberg JO, McDermott MM, Norman PE, Sampson UKA, Williams LJ, Mensah GA et al (2013) Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet 382:1329–1340

    PubMed  Google Scholar 

  • Hallett RL, Fleischmann D (2006) Tools of the trade for CTA: MDCT scanners and contrast medium injection protocols. Tech Vasc Interv Radiol 9(4):134–142

    PubMed  Google Scholar 

  • Hardman RL, Jazaeri O, Yi J, Smith M, Gupta R (2014) Overview of classification systems in peripheral artery disease. Semin Intervent Radiol 31(4):378–388

    PubMed  PubMed Central  Google Scholar 

  • Heye S, Maleux G, Claes K, Kuypers D, Oyen R (2009) Stenosis detection in native hemodialysis fistulas with MDCT angiography. AJR Am J Roentgenol 192:1079–1084

    PubMed  Google Scholar 

  • Higueras Sune MC, Lopez Ojeda A, Narvaez Garcia JA et al (2011) Use of angioscanning in the surgical planning of perforator flaps in the lower extremities. J Plast Reconstr Aesthet Surg 64:1207

    CAS  PubMed  Google Scholar 

  • Huang Y, Gloviczki P, Oderich GS, Duncan AA, Kalra M, Fleming MD et al (2014) Outcomes of endovascular and contemporary open surgical repairs of popliteal artery aneurysm. J Vasc Surg 60:631–638.e2

    PubMed  Google Scholar 

  • Jin KN, Lee W, Yin YH (2007) Preoperative evaluation of lower extremity arteries for free fibula transfer using MDCT angiography. J Comput Assist Tomogr 31:820–825

    PubMed  Google Scholar 

  • Lell MM, Jost G, Korporaal JG, Mahnken AH, Flohr TG, Uder M, Pietsch H (2015) Optimizing contrast media injection protocols in state-of-the art computed tomographic angiography. Invest Radiol 50(3):161–167

    PubMed  Google Scholar 

  • Lopez-Gutierrez JC, Rodríguez LC, Bret Zurita M, Contreras CU, Alvarez-Luque A, Prieto C (2012) Multiple congenital ectatic and fusiform arterial aneurysms associated with lower limb hypoplasia. J Vasc Surg 56(2):496–499

    PubMed  Google Scholar 

  • Margolis J, Barron JJ, Grochulski WD (2005) Health care resources and costs for treating peripheral artery disease in a managed care population: results from analysis of administrative claims data. J Manag Care Pharm 11:727–734

    PubMed  Google Scholar 

  • MDCT (n.d.) http://mdct.net/. Accessed 18 Dec 2017

  • Meijer WT, Grobbee DE, Hunink MG, Hofman A, Hoes AW (2000) Determinants of peripheral arterial disease in the elderly: the Rotterdam study. Arch Intern Med 160:2934–2938

    CAS  PubMed  Google Scholar 

  • Morbi A, Gohel MS, Hamady M et al (2012) Lower-limb ischemia in the young patient: management strategies in an endovascular era. Ann Vasc Surg 26:591–599

    PubMed  Google Scholar 

  • Motaganahalli RL, Smeds MR, Harlander-Locke MP, Lawrence PF, Fujimura N, DeMartino RR et al (2017) A multi-institutional experience in adventitial cystic disease. J Vasc Surg 65:157–161

    PubMed  Google Scholar 

  • Murabito JM, D’Agostino RB, Silbershatz H, Wilson PWF (1997) Intermittent claudication: a risk profile from the Framingham Heart Study. Circulation 96:44–49

    CAS  PubMed  Google Scholar 

  • Murabito JM, Evans JC, Nieto K, Larson MG, Levy D, Wilson PW et al (2002) Prevalence and clinical correlates of peripheral arterial disease in the Framingham offspring study. Am Heart J 143:961–965

    PubMed  Google Scholar 

  • Muratore F, Pipitone N, Salvarani C, Schmidt WA (2016) Imaging of vasculitis: state of the art. Best Pract Res Clin Rheumatol 30(4):688–706

    PubMed  Google Scholar 

  • Redondo P, Aguado L, Martinez-Cuesta A (2011) Diagnosis and management of extensive vascular malformations of the lower limb: part II Systemic repercussions diagnosis, and treatment. J Am Acad Dermatol 65(5):909–923

    PubMed  Google Scholar 

  • Remy-Jardin M, Remy J, Masson P et al (2000) Helical CT angiography of thoracic outlet syndrome: functional anatomy. AJR Am J Roentgenol 174:1667–1674

    CAS  PubMed  Google Scholar 

  • Robinson WP 3rd, Belkin M (2009) Acute limb ischemia due to popliteal artery aneurysm: a continuing surgical challenge. Semin Vasc Surg 22:17–24

    PubMed  Google Scholar 

  • Rooke TW, Hirsch AT, Misra S, Sidawy AN, Beckman JA, Findeiss L et al (2013) American College of Cardiology Foundation Task Force; American Heart Association Task Force. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA Guideline Recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 61:1555–1570

    PubMed  Google Scholar 

  • Shareghi S (2010) Diagnostic accuracy of 64 multidetector computed tomographic angiography in peripheral vascular disease. Catheter Cardiovasc Interv 75:23–31

    PubMed  Google Scholar 

  • Stacy MR, Dearth CL (2017) Multimodality imaging approaches for evaluating traumatic extremity injuries: implications for military medicine. Adv Wound Care 6(7):241–251

    Google Scholar 

  • Thukkani AK, Kinlay S (2015) Endovascular intervention for peripheral artery disease. Circ Res 116:1599–1613

    CAS  PubMed  PubMed Central  Google Scholar 

  • Vlachou PA, Karkos CD, Bains S, McCarthy MJ, Fishwick G, Bolia A (2011) Percutaneous ultrasound-guided thrombin injection for the treatment of iatrogenic femoral artery pseudoaneurysms. Eur J Radiol 77:172–174

    PubMed  Google Scholar 

  • Watchorn J, Miles R, Moore N (2013) The role of CT angiography in military trauma. Clin Radiol 68(1):39–46

    CAS  PubMed  Google Scholar 

  • Weinberg I, Jaff MR (2012) Nonatherosclerotic arterial disorders of the lower extremities. Circulation 126:213–222

    PubMed  Google Scholar 

  • Willmann JK, Wildermuth S (2005) Multidetector-row CT angiography of upper-and lower-extremity peripheral arteries. Eur Radiol 15:D3–D9

    PubMed  Google Scholar 

  • Wright LB, Matchett WJ, Cruz CP et al (2004) Popliteal artery disease: diagnosis and treatment. Radiographics 24(2):467–479

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Mayo Clinic, Rochester, MN, USA

    Newton B. Neidert, Nikkole M. Weber & Eric E. Williamson

  2. Lenox Hill Radiology, New York, NY, USA

    Jeffrey C. Hellinger

Authors
  1. Newton B. Neidert
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  2. Nikkole M. Weber
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  3. Jeffrey C. Hellinger
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  4. Eric E. Williamson
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Corresponding author

Correspondence to Eric E. Williamson .

Editor information

Editors and Affiliations

  1. Department of Radiology, Universitätsklinikum Tübingen, Tübingen, Baden-Württemberg, Germany

    Konstantin Nikolaou

  2. Department of Diagnostic and Interventional Radiology, University of Freiburg, Freiburg, Germany

    Fabian Bamberg

  3. Department of Surgical and Medical Sciences and Translational Medicine, “Sapienza” – University of Rome, Rome, Italy

    Andrea Laghi

  4. Department of Radiology, Duke University School of Medicine, Durham, NC, USA

    Geoffrey D. Rubin

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Neidert, N.B., Weber, N.M., Hellinger, J.C., Williamson, E.E. (2018). CT Angiography of the Peripheral Arteries. In: Nikolaou, K., Bamberg, F., Laghi, A., Rubin, G.D. (eds) Multislice CT. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2018_188

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  • DOI: https://doi.org/10.1007/174_2018_188

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42585-6

  • Online ISBN: 978-3-319-42586-3

  • eBook Packages: MedicineMedicine (R0)

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