The Role of Imaging in Peripheral Interventions
Denzel A Cole1, Bradley R Fox2, Constantino S Peña2
1Larkin Health, Miami, FL.
Techniques in Vascular and Interventional Radiology
|July 16, 2022
Summary
Imaging plays a crucial role in evaluating peripheral arterial disease before and after interventions. Advanced imaging techniques help confirm disease extent and guide treatment planning for improved outcomes.
Area of Science:
- Vascular Medicine
- Diagnostic Imaging
- Interventional Radiology
Background:
- Accurate patient evaluation is essential for identifying and quantifying disease extent.
- Imaging complements patient history and physical examination in disease assessment.
- Effective imaging is vital for treatment planning in peripheral arterial interventions.
Purpose of the Study:
- To discuss the role of imaging in peripheral arterial interventions.
- To highlight how imaging can improve intervention outcomes.
- To review various imaging modalities used in vascular assessment.
Main Methods:
- Review of noninvasive arterial examinations: ankle-brachial index (ABI), toe-brachial index (TBI), pulse volume recordings (PVR), and arterial duplex ultrasound.
- Discussion of advanced imaging techniques: computed tomographic angiograms (CTA) and magnetic resonance angiograms (MRA).
- Inclusion of intravascular ultrasound (IVUS) as an imaging modality.
Main Results:
- Imaging confirms disease presence and extent, aiding in intervention decisions.
- Pre-intervention imaging guides treatment planning for optimal procedural strategy.
- Post-intervention imaging assesses success and monitors for complications, potentially improving outcomes.
Conclusions:
- Imaging is indispensable for comprehensive patient evaluation in peripheral arterial disease.
- A range of noninvasive and invasive imaging techniques are valuable before and after interventions.
- Strategic use of imaging can significantly enhance the success and efficacy of peripheral arterial interventions.
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