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

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

Anahtar Kelimeler:

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

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

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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