Buerger's disease other imaging findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Buerger's disease is diagnosed mostly clinically, however, in cases where diagnosis is indefinite and the extent of disease is unknown, a catheter-based arteriogram may be helpful in the diagnosis of Buerger's disease. Findings on a catheter-based arteriogram suggestive of Buerger's disease include the absence of atherosclerosis, lack of a source for thromboembolism, small and medium-sized vessel involvement, segmental affection of vessels between normal appearing segments, and corkscrew collaterals described as collateralizations around an occlusion area, however, this finding is not pathognomonic.
Other Imaging Findings
- Catheter-based arteriogram is able to detect early signs of vascular damage.[1][2][3][4]
- A dye is injected into an artery and serial x-rays are taken.
- The following result of catheter-based arteriogram is confirmatory of Buerger disease:
- Absence of atherosclerosis
- No cause for thromboembolism
- Small and medium-sized vessels involved, namely tibial, popliteal, and radial arteries
- Segmental affection/bloackage of vessels between normal appearing segments
- Corkscrew collaterals described as collateralization around occlusion area but are not pathognomonic
References
- ↑ Arkkila PE (April 2006). "Thromboangiitis obliterans (Buerger's disease)". Orphanet J Rare Dis. 1: 14. doi:10.1186/1750-1172-1-14. PMC 1523324. PMID 16722538.
- ↑ Dimmick SJ, Goh AC, Cauzza E, Steinbach LS, Baumgartner I, Stauffer E, Voegelin E, Anderson SE (December 2012). "Imaging appearances of Buerger's disease complications in the upper and lower limbs". Clin Radiol. 67 (12): 1207–11. doi:10.1016/j.crad.2012.04.005. PMID 22784658.
- ↑ Lambeth JT, Yong NK (July 1970). "Arteriographic findings in thromboangiitis obliterans with emphasis on femoropopliteal involvement". Am J Roentgenol Radium Ther Nucl Med. 109 (3): 553–62. PMID 5431503.
- ↑ Yoshimuta T, Akutsu K, Okajima T, Tamori Y, Kubota Y, Takeshita S (June 2009). "Corkscrew collaterals in Buerger's disease". Can J Cardiol. 25 (6): 365. PMC 2722480. PMID 19536378.