Peripheral arterial disease CT

Peripheral arterial disease Microchapters
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Patient Information
Overview
Classification
Pathophysiology
Causes
Differentiating Peripheral arterial disease from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Guidelines for Management
Case Studies
Case #1
AHA/ACC Guidelines on Management of Lower Extremity PAD
Guidelines for Clinical Assessment of Lower Extremity PAD
Guidelines for Diagnostic Testing for suspected PAD
Guidelines for Screening for Atherosclerotic Disease in Other Vascular Beds in patients with Lower Extremity PAD
Guidelines for Medical Therapy for Lower Extremity PAD
Guidelines for Structured Exercise Therapy for Lower Extremity PAD
Guidelines for Minimizing Tissue Loss in Lower Extremity PAD
Guidelines for Revascularization of Claudication in Lower Extremity PAD
Guidelines for Management of CLI in Lower Extremity PAD
Guidelines for Management of Acute Limb Ischemial in Lower Extremity PAD
Guidelines for Longitudinal Follow-up for Lower Extremity PAD
Peripheral arterial disease CT On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Peripheral arterial disease CT All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Peripheral arterial disease CT
CDC on Peripheral arterial disease CT
Peripheral arterial disease CT in the news
Blogs on Peripheral arterial disease CT
Directions to Hospitals Treating Peripheral arterial disease
Risk calculators and risk factors for Peripheral arterial disease CT

Editors-in-Chief: C. Michael Gibson, M.D., Beth Israel Deaconess Medical Center, Boston, MA; Robert G. Schwartz, M.D. [1], Piedmont Physical Medicine and Rehabilitation, P.A.; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

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CT Angiography

• Computed tomographic angiography
  • Benefits:
    • Useful to asses PAD anatomy and presence of significant stenoses
    • Useful to select patients who are candidates for endovascular or surgical revascularization
    • Helpful to provide associated soft tissue diagnostic information that may be associated with PAD presentation
    • Metal clips, stents, and metallic prostheses do not cause significant CTA artifacts
    • Scan times are significantly faster than for MRA
  • Limitations:
    • Single-detector computed tomography lacks accuracy for detection of stenosis
    • Spatial resolution lower than digital subtraction angiography
    • Accuracy and effectiveness not as well determined as MRA
    • Asymmetrical opacification in legs may obscure arterial phase in some vessels
    • Requires iodinated contrast and ionizing radiation
    • Venous opacification can obscure arterial filling

References

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