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Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions

Atherosclerotic disease is currently one of the most important problems of modern medicine because it is a leading cause of increased morbidity, morbidity and mortality, and disability in the Western World. Atherosclerosis of the lower limbs (peripheral arterial disease – PAD) significantly affects...

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Autores principales: Michalska, Marta, Kazimierczak, Wojciech, Leszczyński, Waldemar, Nadolska, Katarzyna, Bryl, Łukasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384408/
https://www.ncbi.nlm.nih.gov/pubmed/30800203
http://dx.doi.org/10.5114/pjr.2018.80348
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author Michalska, Marta
Kazimierczak, Wojciech
Leszczyński, Waldemar
Nadolska, Katarzyna
Bryl, Łukasz
author_facet Michalska, Marta
Kazimierczak, Wojciech
Leszczyński, Waldemar
Nadolska, Katarzyna
Bryl, Łukasz
author_sort Michalska, Marta
collection PubMed
description Atherosclerotic disease is currently one of the most important problems of modern medicine because it is a leading cause of increased morbidity, morbidity and mortality, and disability in the Western World. Atherosclerosis of the lower limbs (peripheral arterial disease – PAD) significantly affects the quality of life and in a considerable proportion of patients is a cause of disability. Radical treatment of PAD, both surgical and endovascular, aims at revascularisation of ischaemic tissues distal to obstructed arteries. Surveillance imaging is an important part of patient management after endovascular repair of PAD. Apart from availability and contraindications, challenges of imaging include calcifications, flow dynamics, and stent-related artefacts. The aim of this paper was to review the current literature on imaging methods for follow-up after endovascular repair of atherosclerotic lesions, with special attention paid to novel techniques. As a non-invasive modality, ultrasound is still the first-line examination, but computed tomography angiography remains a current state-of-the art technique for follow-up. However, since current imaging recommendations seem not to adhere to contemporary imaging possibilities, more attention should be paid to recent improvements in magnetic resonance angiography technology.
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spelling pubmed-63844082019-02-22 Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions Michalska, Marta Kazimierczak, Wojciech Leszczyński, Waldemar Nadolska, Katarzyna Bryl, Łukasz Pol J Radiol Review Paper Atherosclerotic disease is currently one of the most important problems of modern medicine because it is a leading cause of increased morbidity, morbidity and mortality, and disability in the Western World. Atherosclerosis of the lower limbs (peripheral arterial disease – PAD) significantly affects the quality of life and in a considerable proportion of patients is a cause of disability. Radical treatment of PAD, both surgical and endovascular, aims at revascularisation of ischaemic tissues distal to obstructed arteries. Surveillance imaging is an important part of patient management after endovascular repair of PAD. Apart from availability and contraindications, challenges of imaging include calcifications, flow dynamics, and stent-related artefacts. The aim of this paper was to review the current literature on imaging methods for follow-up after endovascular repair of atherosclerotic lesions, with special attention paid to novel techniques. As a non-invasive modality, ultrasound is still the first-line examination, but computed tomography angiography remains a current state-of-the art technique for follow-up. However, since current imaging recommendations seem not to adhere to contemporary imaging possibilities, more attention should be paid to recent improvements in magnetic resonance angiography technology. Termedia Publishing House 2018-12-09 /pmc/articles/PMC6384408/ /pubmed/30800203 http://dx.doi.org/10.5114/pjr.2018.80348 Text en Copyright © Polish Medical Society of Radiology 2018 https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0). License allowing third parties to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
spellingShingle Review Paper
Michalska, Marta
Kazimierczak, Wojciech
Leszczyński, Waldemar
Nadolska, Katarzyna
Bryl, Łukasz
Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions
title Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions
title_full Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions
title_fullStr Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions
title_full_unstemmed Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions
title_short Contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions
title_sort contemporary follow-up imaging after endovascular repair of lower extremity atherosclerotic lesions
topic Review Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384408/
https://www.ncbi.nlm.nih.gov/pubmed/30800203
http://dx.doi.org/10.5114/pjr.2018.80348
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