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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
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Related Experiment Video

Updated: Feb 27, 2026

Sample Preparation for Computed Tomography-based Three-dimensional Visualization of Murine Hind-limb Vessels
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Characterizing tissue perfusion after lower extremity intervention using two-dimensional color-coded digital

Ann H Kim1, Andrew J Shevitz2, Katherine L Morrow2

  • 1Division of Vascular Surgery and Endovascular Therapy, University Hospitals Cleveland Medical Center, Cleveland, Ohio.

Journal of Vascular Surgery
|June 26, 2017
PubMed
Summary

This study introduces a novel real-time imaging software for quantifying lower extremity tissue perfusion in peripheral arterial disease (PAD) patients. The two-dimensional perfusion (2DP) imaging shows promise for assessing treatment effectiveness immediately after intervention.

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Area of Science:

  • Vascular Imaging and Interventional Radiology
  • Medical Software and Image Analysis

Background:

  • Digital subtraction angiography (DSA) provides qualitative assessment of blood flow, lacking quantitative perfusion data.
  • Accurate, real-time tissue perfusion assessment in the lower extremities is crucial for managing peripheral arterial disease (PAD).
  • Current methods do not allow for immediate, quantitative evaluation of perfusion during endovascular procedures.

Purpose of the Study:

  • To evaluate a novel real-time imaging software for quantifying lower extremity tissue perfusion in PAD patients.
  • To assess the ability of two-dimensional perfusion (2DP) imaging to provide real-time perfusion parameters during angiography.
  • To determine if 2DP can enable immediate assessment of treatment effectiveness in PAD.

Main Methods:

  • Thirty-one patients with PAD underwent lower extremity angiography using a two-dimensional perfusion (2DP) imaging protocol.
  • Perfusion parameters including arrival time (AT), wash-in rate (WIR), time to peak (TTP), and area under the curve (AUC) were measured.
  • A subset of 18 patients had 2DP imaging performed before and after intervention, with constant imaging settings.

Main Results:

  • The 2DP imaging successfully delineated tissue perfusion parameters in the foot.
  • Post-intervention, significant improvements were observed: shortened AT (30.1%), decreased TTP (17.6%), increased WIR (68.8%), and increased AUC (10.5%).
  • A detectable improvement in signal intensity and 2D flow parameters was evident after intervention.

Conclusions:

  • Two-dimensional perfusion (2DP) imaging serves as a valuable adjunct to DSA, enabling real-time blood flow measurement.
  • Arrival time (AT) may be the most sensitive indicator of perfusion changes in the lower extremity.
  • Quantitative thresholds derived from 2DP imaging show potential for immediate assessment of treatment effectiveness in PAD patients.