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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2018
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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. |
format | Online Article Text |
id | pubmed-6384408 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
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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