İNFRARENAL PERİFERİK ARTER HASTALIĞINDA KLİNİK MUAYENE, BİLGİSAYARLI TOMOGRAFİK ANJİOGRAFİ VE DİGİTAL SUBTRACTİON ANJİOGRAFİ BULGULARININ DEĞERLENDİRİLMESİ

Year 2021, , 213 - 219, 15.06.2021

Murat Yıldırım , Ersin Çelik , Ahmet Öcal

https://doi.org/10.17343/sdutfd.654147

Abstract

Bu çalışmanın amacı İnfrarenal periferik arter hastalığının
değerlendirilmesinde klinik muayene, BT Anjiografi
ve DSA bulgularının karşılaştırılmasıdır.
Gereç ve Yöntem
Bu çalışma Ocak 2013-Şubat 2014 tarihleri arasında,
Süleyman Demirel Üniversitesi Tıp Fakültesi Kalp ve
Damar Cerrahisi Anabilim Dalında retrospektif olarak
gerçekleştirildi. Çalışmaya yaşları 41-93 (ortalama
yaş; 63,83±12,75) arasında değişen, alt ekstremite arteriyel
semptomları olan 49 hasta (7 kadın, 42 erkek)
dahil edildi. Hastalara Digital Subtraction Anjiografi ve
128 multidedektörlü BT anjiyografi ile alt ekstremite
anjiyogramları çekildi ve bu iki yöntem karşılaştırıldı.
Bulgular
BT anjiyografi ve DSA sonuçlarında periferik arter
hastalığının alt ekstremitede değerlendirilmesi açısından
istatistiksel olarak anlamlı bir fark bulunmadı (p
0.05). DSA ve BT anjiografi görüntülerinde belirlenen
darlık yüzdesi ile AB indeks ve kladikasyo ölçümleri
arasında negatif yönde anlamlı korelasyon saptandı.
Sonuç
Periferik arter hastalığının alt ekstremitede değerlendirilmesinde
BT angiografi, DSA’ya alternatif bir görüntüleme
yöntemi olarak düşünülebilir.
Anahtar Kelimeler: Bacak kol İndeksi, Bilgisayarlı
tomografi anjiyografi, Digital Substrakt Anjiografi, İnfrarenal
periferik arteriyel hastalık, Kladikasyo intermittant

Keywords

bacak kol indeksi, bilgisayarlı tomografi anjiografi, digital substrakt anjiografi, infrarenal periferik arteriyel hastalık, kladikasyo intermittant

Supporting Institution

yok

COMPARISON OF CLINICAL EXAMINATION, COMPUTARIZED TOMOGRAPHIC ANGIOGRAPHY AND DIGITAL SUBSTRACTION ANGIOGRAPHY IN INFRARENAL PERIPHERAL ARTERY DISEASE

Abstract

Objective
The aim of this study was to compare the findings of
clinical examination, CT angiography and DSA in evaluation
of infrarenal peripheric arterial disease.
Materials and Methods
This study was conducted in Suleyman Demirel University
Faculty of Medicine, Department of Cardiovascular
Surgery between January 2013-February 2014.
49 patients (7 female, 42 male) with lower extremity
arterial symptoms between the ages of 41-93 (mean
age; 63,83±12,75) were involved in the study. Lower
extremity angiograms of the patient were performed
by Digital Subtraction Anjiography (DSA ) and 128 multidedector BT angiography in average and these
two methods were compared.
Results
There was no statistically significant difference between
BT angiography and DSA in evaluation of infrarenal
peripheric arterial disease (p 0.05). AB index and
claudicasio measurements demonstrated significantly
negative correlation with the stenosis percentage in
BT angiography and DSA evaluation results
Conclusion
BT angiography can be thougt as an alternative imaging
method of DSA in evaluation of infrarenal peripheric
arterial disease of lower extremity.

Keywords

Ankle Brakial Indeks, Computed Tomography Anjiography, Computed Tomography Anjiography, Digital Subtraction Anjiography, Infrarenal Peripheric Arterial Disease, Claudicasio Intermittens

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