2011, Number 3
Ultrasonido Doppler de miembros pélvicos en la insuficiencia arterial crónica: lo que el radiólogo debe reportar
Salazar PJR, Serrano LR
Full text
Language: Spanish
References: 6
Page: 174-178
PDF size: 116.83 Kb.
ABSTRACT
Introduction. Chronic arterial insufficiency is closely associated with the incidence of metabolic syndrome (particularly with diabetes mellitus) which, in the Mexican population, represents a serious problem of public health. Doppler ultrasound (DU) is a noninvasive, accessible, and highavailability diagnostic technique but requires a trained operator.Purpose. Identify the characteristics of Doppler ultrasound reports and propose a systematic wording, and complementary elements to include in the exploration.
Material and methods. Sixty reports from Doppler arterial studies of pelvic members in diabetic patients (clinical diagnosis: arterial insufficiency) performed in the year 2010 at the Hospital General de Mexico Ultrasound Department were selected and reviewed at random.
Results. The greatest percentage of arterial segments evaluated was that of the tibial, peroneal, dorsal, and plantar arteries (73.3 % of cases) followed by the femoral artery in slightly more than 50% of cases. None of the reports mentioned extending the evaluation to the infrarenal abdominal aorta or to the common iliac arteries, nor were spectrum characteristics at sites of localized stenosis or the presence of inward or outward collateral flow reported. The evaluation of segmental pressures and calculation of the ankle-arm index were never conducted.
Conclusion. We propose including, routinely, calculation of the ankle-arm index, reporting sites of stenosis [and] their length, and estimating the approximate percentage, as well as local hemodynamic repercussions. In cases of severe stenosis detect sites of inward or outward collateral flow.
REFERENCES
Jue Li, MD; Yingyi Luo, MD; Yawey XU, MD; Jingang Yang, MD; Liqiang Zheng, MD; Buaijiaer Hasimu, MD; Jinming Yu, MD; Dayi Hu, MD. “Risk Factors of Peripheral Arterial Disease and Relationship between Low Ankle–Brachial Index and Mortality from All-Cause and Cardiovascular Disease in Chinese Patients with Type 2 Diabetes”. Circulation Journal. 2007;71:377-381.