EVALUATION AND CLINICO-RADIOLOGICAL CORRELATION OF PERIPHERAL ARTERIAL DISEASE PATIENTS WITH COLOR DOPPLER, DIGITAL SUBSTRACTION ANGIOGRAPHY AND CT ANGIOGRAPHY

Herman Singh Aujla, Jatin K. Punia, Shailendra Sharma, Pramod Sijairaya

Abstract


Introduction: Peripheral artery disease (PAD), also known as peripheral vascular disease (PVD), peripheral artery occlusive disease, and peripheral obliterative arteriopathy, is a narrowing of the arteries other than those that supply the heart or the brain.(10)

Material & Methods: This study was conducted on 50 cases of peripheral arterial disease in different parts of the limbs from wards of general surgery of C.R.G. Hospital during the period of September 2013 to August 2015. The patients were analysed according to Age, Gender, Type of Addiction, i.e. Bidi/Cigarette/Tobacco chewing, according to site, i.e. limb involved, Duration of addiction & frequency, According to symptoms, Ankle Brachial Index, Absence of pulsations with local examination, color Doppler, Digital Subtraction Angiography & CT Angiography, According to medical treatment, Debridement & Amputation.

Results: Out of 50 patients, common age of presentation was 25 to 45 years (72%) and Male:Female = 9:1. Pain was the predominant symptom in all the cases (90%) out of which 25% presented with rest pain. 10% patients presented with gangrene in which the pain has already subsided when they presented to the hospitals. Intermittent claudication was seen in 16(32%) of cases. In our study, all patients were smokers or tobacco chewers with duration from 5 to 20 years. 5 patients were in the habit of chewing some form of tobacco.

Conclusion: Patients are from rural background and this seems to be the reason for late reporting to tertiary care hospital. By that time, the disease had progressed to rest pain, ulceration and frank gangrene. Almost all distal peripheral pulsations are impalpable. Though an attempt was made to quantify the disease objectively with Color Doppler, DSA and CT Angiography, the result appeared more as an academic exercise rather than guide in the treatment of patient. Hence, just locating the proximal lesion with the help of Color Doppler, DSA and CT Angiography did not really help in designing the treatment modality.

Keywords


Color Doppler, Angiography, CT angiography, Digital substraction angiography, Clinico-radiology, Arterial disease.

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