ABSTRACT
The diagnostic value was assessed of the examination of artery stenosis in lower extremities by the Doppler method, and the results were compared with diagnosis made by means of arteriography, and intraoperatively. The analysis included 40 patients with atherosclerosis, diabetes mellitus, and Buerger disease. Ultrasonic normal values were determined for healthy arteries, and for insignificant and significant stenosis. Treating the intraoperative diagnosis as verifying the two other methods it was found that the per cent of correct diagnosis was similar for ultrasonography and intraoperative examination, and was 76% and 66% respectively. The Doppler examination supplemented arteriography in the evaluation of crural arteries, while arteriography supplemented Doppler examination in the evaluation of the deep femoral artery and the condition of collateral blood flow.
Subject(s)
Ischemia/diagnosis , Leg/blood supply , Adolescent , Adult , Arteries/diagnostic imaging , Collateral Circulation , Female , Femoral Artery/diagnostic imaging , Humans , Intraoperative Period , Ischemia/surgery , Male , Radiography , UltrasonographyABSTRACT
In 1983-1988, the results of conservative and surgical treatment of patients with atherosclerotic ischemia of the lower limbs were assessed with the aid of a questionnaire. A possibility of prognosis was assessed with the use of mathematically processed data obtained with such approach. An effect of clinical symptoms (intermittent claudication distance, resting pain, necrosis) and stage of the disease (duration, K/R index) and risk factors (blood cholesterol, triglycerides, diabetes mellitus, ischemic heart disease, arterial hypertension) on the result of surgical treatment was analysed. The obtained results suggest that clinical symptoms and risk factors may predict the results of surgical treatment in the atherosclerotic ischemia of the lower limbs.
