eMedicine Specialties > Radiology > Vascular/Interventional

Lower-Extremity Atherosclerotic Arterial Disease: Multimedia

Author: Chadi Chahin, MD, Staff Physician, Department of Radiology, Aultman Health Foundation/Mercy Medical Center
Coauthor(s): Barry Rose, MD, Associate Professor of Radiology, Northeastern Ohio Universities College of Medicine; Program Director, Department of Radiology, Aultman Hospital; Sam Stuhlmiller, MD, Consulting Staff, Department of Radiology, Aultman Hospital
Contributor Information and Disclosures

Updated: Feb 9, 2007

Multimedia

Pulse-volume recording study shows disease on the...Media file 1: Pulse-volume recording study shows disease on the right side. Compare the waveforms and the ankle-brachial index numbers on both sides.
Pulse-volume recording study shows disease on the...

Pulse-volume recording study shows disease on the right side. Compare the waveforms and the ankle-brachial index numbers on both sides.

Gray-scale sonogram demonstrates the popliteal ar...Media file 2: Gray-scale sonogram demonstrates the popliteal artery, which is located between the calipers. It measures 0.62 cm in diameter. Findings are normal in this study.
Gray-scale sonogram demonstrates the popliteal ar...

Gray-scale sonogram demonstrates the popliteal artery, which is located between the calipers. It measures 0.62 cm in diameter. Findings are normal in this study.

Color Doppler sonogram of the popliteal artery (s...Media file 3: Color Doppler sonogram of the popliteal artery (same patient as in Image 2). The red color represents arterial blood flow, its direction, and its velocity inside the artery. These data were obtained by measuring the Doppler shifts originating from the sampled volume inside the artery). Findings are normal in this study.
Color Doppler sonogram of the popliteal artery (s...

Color Doppler sonogram of the popliteal artery (same patient as in Image 2). The red color represents arterial blood flow, its direction, and its velocity inside the artery. These data were obtained by measuring the Doppler shifts originating from the sampled volume inside the artery). Findings are normal in this study.

Popliteal artery. Video illustrating the Images 1...Media file 4: Popliteal artery. Video illustrating the Images 1-3 was recorded during real-time color Doppler ultrasonography.
Popliteal artery. Video illustrating the Images 1...

Popliteal artery. Video illustrating the Images 1-3 was recorded during real-time color Doppler ultrasonography.

Digital subtraction angiogram (DSA) illustrates a...Media file 5: Digital subtraction angiogram (DSA) illustrates a high-grade short-segment stenosis of the lumen of the right superficial femoral artery (a).
Digital subtraction angiogram (DSA) illustrates a...

Digital subtraction angiogram (DSA) illustrates a high-grade short-segment stenosis of the lumen of the right superficial femoral artery (a).

Conventional catheter angiogram. The inflated ang...Media file 6: Conventional catheter angiogram. The inflated angioplasty balloon technique was performed to treat the stenosis in the lumen of the right superficial femoral artery (same patient as in Image 5).
Conventional catheter angiogram. The inflated ang...

Conventional catheter angiogram. The inflated angioplasty balloon technique was performed to treat the stenosis in the lumen of the right superficial femoral artery (same patient as in Image 5).

Cut-film angiogram illustrates complete embolic o...Media file 7: Cut-film angiogram illustrates complete embolic occlusion after angioplasty (a). The occlusion is seen distally at the level of the popliteal artery. The patient was treated with percutaneous catheter suction embolectomy. (Thrombolytic agents such as reteplase or alteplase may also be used.)
Cut-film angiogram illustrates complete embolic o...

Cut-film angiogram illustrates complete embolic occlusion after angioplasty (a). The occlusion is seen distally at the level of the popliteal artery. The patient was treated with percutaneous catheter suction embolectomy. (Thrombolytic agents such as reteplase or alteplase may also be used.)

Magnetic resonance angiogram (MRA) obtained by u...Media file 8: Magnetic resonance angiogram (MRA) obtained by using the bolus-chase technique shows the normal anatomy of the lower extremity arterial vasculature, including the aorta (a), the common iliac artery (b), the external iliac artery (c), the internal iliac artery (d), and the common femoral artery (e).
Magnetic resonance angiogram (MRA) obtained by u...

Magnetic resonance angiogram (MRA) obtained by using the bolus-chase technique shows the normal anatomy of the lower extremity arterial vasculature, including the aorta (a), the common iliac artery (b), the external iliac artery (c), the internal iliac artery (d), and the common femoral artery (e).

Magnetic resonance angiogram (MRA) obtained by us...Media file 9: Magnetic resonance angiogram (MRA) obtained by using the bolus-chase technique shows the normal anatomy of the lower-extremity arterial vasculature, including the deep femoral artery (a) and the superficial femoral artery (b).
Magnetic resonance angiogram (MRA) obtained by us...

Magnetic resonance angiogram (MRA) obtained by using the bolus-chase technique shows the normal anatomy of the lower-extremity arterial vasculature, including the deep femoral artery (a) and the superficial femoral artery (b).

Magnetic resonance angiogram (MRA) obtained by us...Media file 10: Magnetic resonance angiogram (MRA) obtained by using the bolus-chase technique shows the normal anatomy of the lower-extremity arterial vasculature, including the popliteal artery (a), the anterior tibial artery (b), the tibioperoneal trunk (c), the peroneal artery (d), and the posterior tibial artery (e).
Magnetic resonance angiogram (MRA) obtained by us...

Magnetic resonance angiogram (MRA) obtained by using the bolus-chase technique shows the normal anatomy of the lower-extremity arterial vasculature, including the popliteal artery (a), the anterior tibial artery (b), the tibioperoneal trunk (c), the peroneal artery (d), and the posterior tibial artery (e).

This magnetic resonance angiogram (MRA) of the lo...Media file 11: This magnetic resonance angiogram (MRA) of the lower extremities was obtained by using the bolus-chase technique. A short-segment high-grade stenosis is present in the middle of the left superficial femoral artery. Note the collateral arterial supply.
This magnetic resonance angiogram (MRA) of the lo...

This magnetic resonance angiogram (MRA) of the lower extremities was obtained by using the bolus-chase technique. A short-segment high-grade stenosis is present in the middle of the left superficial femoral artery. Note the collateral arterial supply.

This magnetic resonance angiogram (MRA) of the lo...Media file 12: This magnetic resonance angiogram (MRA) of the lower extremities was obtained by using the bolus-chase technique. Atherosclerotic disease involves the bilateral superficial femoral arteries. Note the multiple lesions, which are primarily in the middle portions, and the large collateral arterial supply.
This magnetic resonance angiogram (MRA) of the lo...

This magnetic resonance angiogram (MRA) of the lower extremities was obtained by using the bolus-chase technique. Atherosclerotic disease involves the bilateral superficial femoral arteries. Note the multiple lesions, which are primarily in the middle portions, and the large collateral arterial supply.

More on Lower-Extremity Atherosclerotic Arterial Disease

Overview: Lower-Extremity Atherosclerotic Arterial Disease
Imaging: Lower-Extremity Atherosclerotic Arterial Disease
Follow-up: Lower-Extremity Atherosclerotic Arterial Disease
Multimedia: Lower-Extremity Atherosclerotic Arterial Disease
References

References

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  2. Eisenberg RL, Harrison TR. Vascular disease of the extremities. In: Diagnostic Imaging in Internal Medicine. McGraw-Hill;1985.

  3. Gahtan V. The noninvasive vascular laboratory. Surg Clin North Am. Aug 1998;78(4):507-18. [Medline].

  4. Goldman L, Bennett JC. Atherosclerotic peripheral arterial disease. In: Cecil Textbook of Medicine. 21st ed. WB Saunders Co;2000.

  5. Hood DB, Hodgson KJ. Percutaneous transluminal angioplasty and stenting for iliac artery occlusive disease. Surg Clin North Am. Jun 1999;79(3):575-96. [Medline].

  6. McCance KL, Huether SE. Pathophysiology: The Biologic Basis for Disease in Adults and Children. 3rd ed. Mosby-Year Book;1997.

  7. Neiman HL, Yao JS. Angiography of Vascular Disease. Churchill Livingstone;1985.

  8. Polak JF, Karmel MI, Meyerovitz MF. Accuracy of color Doppler flow mapping for evaluation of the severity of femoropopliteal arterial disease: a prospective study. J Vasc Interv Radiol. Nov 1991;2(4):471-6; discussion 476-9. [Medline].

  9. Polak JF. Diagnostic Ultrasound. Vol 1. Mosby-Year Book;1998:92.

  10. Quinn SF, Sheley RC, Semonsen KG, et al. Aortic and lower-extremity arterial disease: evaluation with MR angiography versus conventional angiography. Radiology. Mar 1998;206(3):693-701. [Medline].

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  13. Rofsky NM, Johnson G, Adelman MA, et al. Peripheral vascular disease evaluated with reduced-dose gadolinium- enhanced MR angiography. Radiology. Oct 1997;205(1):163-9. [Medline].

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  15. Valji K. Pelvic and lower extremity arteries. In: Vascular and Interventional Radiology. WB Saunders Co;1999: 96-135.

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Further Reading

Keywords

arteriosclerosis obliterans, lower extremity peripheral vascular disease, lower extremity peripheral arterial disease, atherosclerosis, lower-extremity peripheral arterial disease, LEPAD

Contributor Information and Disclosures

Author

Chadi Chahin, MD, Staff Physician, Department of Radiology, Aultman Health Foundation/Mercy Medical Center
Chadi Chahin, MD is a member of the following medical societies: American College of Radiology
Disclosure: Nothing to disclose.

Coauthor(s)

Barry Rose, MD, Associate Professor of Radiology, Northeastern Ohio Universities College of Medicine; Program Director, Department of Radiology, Aultman Hospital
Barry Rose, MD is a member of the following medical societies: American College of Radiology, American Medical Association, Association of University Radiologists, Ohio State Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Sam Stuhlmiller, MD, Consulting Staff, Department of Radiology, Aultman Hospital
Sam Stuhlmiller, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Anthony Watkinson, MD, Professor of Interventional Radiology, The Peninsula Medical School; Consultant and Senior Lecturer, Department of Radiology, The Royal Devon and Exeter Hospital, UK
Anthony Watkinson, MD is a member of the following medical societies: Radiological Society of North America, Royal College of Radiologists, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

George Hartnell, MB, Professor of Radiology, Tufts University School of Medicine, Director of Cardiovascular and Interventional Radiology, Department of Radiology, Baystate Medical Center
George Hartnell, MB is a member of the following medical societies: American College of Cardiology, American College of Radiology, American Heart Association, Association of University Radiologists, British Institute of Radiology, British Medical Association, Massachusetts Medical Society, Radiological Society of North America, Royal College of Physicians, Royal College of Radiologists, and Society of Cardiovascular and Interventional Radiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Kyung J Cho, MD, FACR, William Martel Professor of Radiology, Fellowship Program Director, Department of Radiology, Division of Interventional Radiology, University of Michigan Medical School
Kyung J Cho, MD, FACR is a member of the following medical societies: American College of Radiology, American Heart Association, American Medical Association, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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