Digital Subtraction Angiography

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A 54-year-old female suffering from type 2 diabetes and being treated with metformin

Figure 7.14 Post-stent digital subtraction angiography of the foot shown in Figures 7.12 and 7.13. (Courtesy of C. Liapis)

Figure 7.14 Post-stent digital subtraction angiography of the foot shown in Figures 7.12 and 7.13. (Courtesy of C. Liapis)

Digital Subtraction Angiography Leg

and insulin, was admitted to the vascular surgery ward; she complained of worsening intermittent claudication in her right leg which had occurred over the previous 2 months. As her ankle brachial index was very low (0.4), a digital subtraction angiography of the abdominal aorta and the arteries of the lower extremities was carried out.

A catheter was inserted through her right brachial artery and the tip of the catheter was advanced into the abdominal aorta.

Advanced stenotic lesions of the abdominal aorta were present with partial stenosis of the lumen. The iliac and common femoral arteries were patent.

Severe stenoses in the superficial femoral arteries were present, predominantly in the right vessel, with a subtotal occlusion of the distal area of the artery (Figures 7.19 and 7.20); extensive collateral vessel development was noted and both popliteal arteries were fairly patent. There was mild athero-matous disease in the tibial arteries.

Digital subtraction angiography has replaced film screen angiography since it provides superior contrast resolution and the capability of post-processing the data. It uses less contrast and maximizes guidance for minimally invasive therapy.

Keywords: Peripheral vascular disease; digital subtraction angiography

Figure 7.15 Plain radiograph of the foot shown in Figures 7.12-7.14. A stress fracture of the proximal phalanx of the fifth toe and osteoarthritis in the first and fourth metatarsophalangeal joints can be seen

Figure 7.15 Plain radiograph of the foot shown in Figures 7.12-7.14. A stress fracture of the proximal phalanx of the fifth toe and osteoarthritis in the first and fourth metatarsophalangeal joints can be seen

Base Proximal Phalanx 5th Toe

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Arthritis Joint Pain

Arthritis Joint Pain

Arthritis is a general term which is commonly associated with a number of painful conditions affecting the joints and bones. The term arthritis literally translates to joint inflammation.

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