Peripheral arterial disease ultrasound

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
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CT
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Ultrasound
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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 ultrasound On the Web
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American Roentgen Ray Society Images of Peripheral arterial disease ultrasound 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 ultrasound
CDC on Peripheral arterial disease ultrasound
Peripheral arterial disease ultrasound in the news
Blogs on Peripheral arterial disease ultrasound
Directions to Hospitals Treating Peripheral arterial disease
Risk calculators and risk factors for Peripheral arterial disease ultrasound

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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Ultrasound

• Ultrasound is somewhat insensitive in making the diagnosis of PVD.
• Duplex ultrasound
  • Benefits
    • Can establish the lower extremity PAD diagnosis, establish localization, and define severity of local lower extremity arterial stenoses
    • Can be useful to select candidates for endovascular or surgical revascularization
  • Limitations
    • Accuracy is diminished in proximal aortoiliac arterial segments in some individuals
    • Dense arterial calcification can limit diagnostic accuracy
    • Sensitivity is diminished for detection of stenoses downstream from a proximal stenosis
    • Diminished predictive value in surveillance or prosthetic bypass grafts

References

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