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Ultraschall Med 2009; 30(4): 334-374
DOI: 10.1055/s-0028-1109452
CME-Fortbildung/Continuing Education

© Georg Thieme Verlag KG Stuttgart · New York

Periphere arterielle Verschlusskrankheit: Stellenwert der Sonografie

Importance of Ultrasound for Diagnosing Periphereal Arterial DiseaseH. Stiegler1 , R. Brandl2
  • 1Klinik für Angiologie, Klinikum München Schwabing
  • 2Klinik für Gefäßchirurgie, Klinikum München Schwabing
Further Information

Publication History

eingereicht: 23.1.2009

angenommen: 28.1.2009

Publication Date:
17 August 2009 (online)

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Key words

ultrasound color Doppler - intraoperative - peripheral arterial disease - ABI - medial sclerosis

Literatur/References

  • 1 Aly S, Sommerville K, Adiseshiah M. Comparison of Duplex imaging and angiography in evaluation of lower limb arteries.  B J Surg. 1998;  85 1099-1102
    Google Scholar
  • 2 Back M R, Bowser A N, Schmacht D C. et al . Duplex selection facilitates single poin-of-service endovascular and surgical management of aortoiliac occlusive disease.  Ann Vasc Surg. 2002;  16 566-574
    Google Scholar
  • 3 Bandyk D F. Infrainguinal vein bypass graft surveilance: How to do it, when to intervene, and is it cost-effective?.  J Am Coll Surg. 2002;  194 S40-S52
    Google Scholar
  • 4 Calligaro K D, Doerr K, McAffee-Bennett S. et al . Should duplex ultrasonography be performed for surveillance of femoropopliteal and femorotibial arterial prosthetic bypasses?.  Ann Vasc Surg. 2001;  15 520-524
    Google Scholar
  • 5 Coffi S B, Ubbink D T, Legemate D A. Noninvasive techniques to detect subcritical iliac artery stenosis.  Eur J Vasc Endovasc Surg. 2005;  29 305-307
    Google Scholar
  • 6 Collins R, Cranny G, Aguiar-Ibanez R. et al . Duplex ultrasonography, magnetic resonance angiography and computed tomography angiography for diagnosis and assessment of symptomatic lower limb arterial disease: systematic review.  BMJ. 2007;  334 1257-1266
    Google Scholar
  • 7 Diehm C. Buerger-Syndrom. Amendt K, Diehm C Handbuch der Akralen Durchblutungsstörung Heidelberg, Leipzig; Ambrosius Barth Verlag 1998: 185-203
    Google Scholar
  • 8 Diehm C, Kareem S, Lawall H. Epidemiology of peripheral arterial disease.  VASA. 2004;  33 183-189
    Google Scholar
  • 9 Diehm C, Schuster A, Allenberg J A. et al . High prevalence of peripheral arterial disease and co-morbidity in 6880 primary care patients: cross sectional study.  Atherosclerosis. 2004;  172 95-105
    Google Scholar
  • 10 da Silva A. Occlusive peripheral artery disease. Early diagnosis, incidence, course, significance. Widmer LK Bern, Stuttgart, Vienna; Hans Huber 1980: 1-97
    Google Scholar
  • 11 Smet A A, Ermers de E, Kitslaar P. Duplex velocity characteristics and aortoiliac stenosis.  J Vasc Surg. 1996;  23 628-638
    Google Scholar
  • 12 DO D D, Braunschweig M, Baumgartner I. et al . Adventitial cystic disease of the popliteal artery: percutaneous US-guided aspiration.  Radiology. 1997;  203 743-746
    Google Scholar
  • 13 Dormandy J, Heeck L, Vig S. The fate of patients with critical leg ischemia.  Semin Vasc Surg. 1999;  12 142-147
    Google Scholar
  • 14 Espinola-Klein C, Rupprecht H J, Bickel C. et al . Different calculations of ankle-brachial index and their impact on cardiovascular risk prediction.  Circulation. 2008;  118 online
    Google Scholar
  • 15 Ferris B L, Mills J L, Hughes J D. et al . Is early postoperative duplex scan surveillance of leg bypass grafts clinical important?.  J Vasc Surg. 2003;  37 495-500
    Google Scholar
  • 16 Flanignan D P, Ballard J L, Robinson D. et al . Duplex ultrasound of the superficial femoral artery is a better screening tool than ankle-brachial index to indentify at risk patients with lower extremity atherosclerosis.  J Vasc Surg. 2008;  47 789-793
    Google Scholar
  • 17 Greenland P, Abrams J, Aurigemma G. et al . Preventing Conference V Beyond secondary prevention. Identifying the high-risk patient for primary prevention. Noninvasive tests of atheroslerotic burden Writing Group III.  Circulation. 2000;  101 E16-E22
    Google Scholar
  • 18 Hatsukami T S, Primozich J, Zierler R E. et al . Color doppler characteristics in normal lower extremity arteries.  Ultrasound in Med & Biol. 1992;  18 167-171
    Google Scholar
  • 19 Hofmann W, Walter M D, Ugurluogli A. et al . Preoperative high-frequency duplex scanning of potential pedal target vessels.  J Vasc Surg. 2004;  39 169-175
    Google Scholar
  • 20 Hoogeveen E K, Mackaay A JC, Beks P J. et al . Evaluation of the one-minute exercise test to detect peripheral arterial disease.  Eur J Clin Invest. 2008;  38 290-295
    Google Scholar
  • 21 Ihnat D M, Mills J L, Dawson D L. et al . The correlation of early flow disturbances with the development of infrainguinal graft stenosis: A 10 year study of 341 autogenous vein grafts.  J Vasc Surg. 1999;  30 8-15
    Google Scholar
  • 22 Jäger K A, Phillips D J, Martin R L. et al . Noninvasive mapping of lower limb arterial lesions.  Ultrasound Med Biol. 1985;  11 515-521
    Google Scholar
  • 23 Jäger K A, Landmann J. Praxis der angiologischen Diagnostik. Stufendiagnostik und rationelles Vorgehen bei arterieller und venöser Durchblutungsstörung. Berlin; Springerverlag 1994
    Google Scholar
  • 24 Janssen A. Pulsatility index is better than ankle-brachial Doppler index for non-invasive detection of critical limb ischemia in diabetes.  VASA. 2005;  34 235-241
    Google Scholar
  • 25 Kadir S. Atlas of normal and variant angiographic anatomy. W. B. Saunders Company 1991: 97-160
    Google Scholar
  • 26 Karasch T, Rieser R, Grün B. et al . Bestimmung der Verschlusslänge in Extremitätenarterien – Farbduplexsonographie versus Angiographie.  Ultraschall in Med. 1992;  13 247-254
    Google Scholar
  • 27 Karasch T. Arterien der unteren Extremität. Kubale R, Stiegler H Farbkodierte Duplexsonographie. Interdisziplinärer vaskulärer Ultraschall Thieme Verlag 2002: 394-443
    Google Scholar
  • 28 Krueger K, Zaehringer M, Strohe D. et al . Postcatheterization pseudoaneurysm: Results of US-guided percutaneous thrombin injection in 240 patients.  Radiology. 2005;  236 1104-1110
    Google Scholar
  • 29 Lehto S, Niskanan L, Suhonen M. et al . Medial artery calcification: a neglected harbinger of cardiocascular complications in non-insulin-dependent diabetes mellitus.  Arterioscler Thromb Vasc Biol. 1996;  16 978-983
    Google Scholar
  • 30 Levien L J, Veller M G. Popliteal artery entrapment syndrome: More common than previously recognized.  J Vasc Surg. 1999;  30 587-598
    Google Scholar
  • 31 Levien L J, Benn C A. Adventitial cystic disease: A unifying hypothesis.  J Vasc Surg. 1998;  28 193-205
    Google Scholar
  • 32 Levin M E. Preventing amputation in the patient with diabetes.  Diabetes Care. 1995;  18 1381-1394
    Google Scholar
  • 33 Minar E. Peripheral arterial occlusive disease.  VASA. 2007;  36 155-164
    Google Scholar
  • 34 Modofi R, Pandanaboyana S, Flett M. et al . The value of vein graft surveillance in bypasses performed with small-diameter vein grafts.  Ann Vasc Surg. 2008;  9 1-7
    Google Scholar
  • 35 Moneta G, Richard M D, Yeager A. et al . Accuracy of lower extremity arterial duplex mapping.  J Vasc Surg. 1992;  15 275-84
    Google Scholar
  • 36 Norgren L, Hiatt W R, Dormandy J D. et al . On behalf of the TASC II Working Group. Inter-Society Consensus for the management of peripheral arterial disease (TASC II).  Eur J Vasc Endovasc Surg. 2007;  33 S1-S75
    Google Scholar
  • 37 Podhaisky H, Hänsgen K, Taute B. et al . Duplexsonographie im distalen Extremitätenbereich zur Schweregradbeurteilung der pAVK.  Perfusion. 2005;  18 95-100
    Google Scholar
  • 38 Ranke C, Rieder M, Creutzig M. et al . Ein Nomogramm zur duplexsonographischen Quantifizierung peripherer Arterienstenosen. Untersuchungen am Kreislaufmodell und bei angiographierten Patienten.  Med Klinik. 1995;  90 72-77
    Google Scholar
  • 39 Ranke C, Creutzig A, Alexander K. Duplex scanning of the peripheral arteries: Correlation of the peak velocity ratio with angiographic diameter reduction.  Ultrasound in Med & Biol. 1992;  18 433-440
    Google Scholar
  • 40 Ronnemaa T, Hamalainen H, Toikka T. Evaluation of the impact of podiatrist care in the primary prevention of foot problems in diabetes subjects.  Diabetes Care. 1997;  20 1833-1837
    Google Scholar
  • 41 Rose S C. Noninvasive vascular laboratory for evaluation of peripheral arterial occlusive disease: Part II – Clinical application: chronic, usually atherosclerotic, lower extremity ischemia.  JVIR. 2000;  11 1257-1275
    Google Scholar
  • 42 Sacks D, Robinson M L, Marinelli D L. et al . Peripheral arterial Doppler ultrasonography: Diagnostic criteria.  J Ultrasound Med. 1992;  11 95-103
    Google Scholar
  • 43 Scheffler A, Rieger H. O2-Inhalation und Beintieflagerung als Provokationstests für die transkutane Sauerstoffpartialdruckmessung (tcpO2) bei fortgeschrittener peripherer arterieller Verschlusskrankheit.  Vasa Suppl. 1991;  33 269-270
    Google Scholar
  • 44 Schröder F, Diehm N, Kareem S. et al . A modified calculation of ankle-brachial pressure index is far more sensitive in the detection of periphereal arterial disease.  J Vasc Surg. 2006;  44 531-536
    Google Scholar
  • 45 Shaalan W E, Frech-Sherry E, Castilla M et a. l Reliability of common femoral artery hemodynamics in assessing the severity of aortoiliac inflow disease.  J Vasc Surg. 2003;  37 960-969
    Google Scholar
  • 46 Smith F C, Shearman C P, Simms M H. et al . Falsely elevated ankle pressures in severe leg ischaemia: the pole test – an alternative approach.  Eur J Vasc Surg. 1994;  8 408-412
    Google Scholar
  • 47 Staub D, Caneviscini R, Huegli R W. et al . Best duplex-sonographic criteria in the assessment of renal artery stenosis – Correlation with intraarterial pressure gradient.  Ultraschall in Med. 2007;  28 45-51
    Google Scholar
  • 48 Stone P A, Armstrong P A, Bandyk D F. et al . Duplex ultrasound criteria for femorofemoral bypass revision.  J Vasc Surg. 2006;  44 496-502
    Google Scholar
  • 49 Stiegler H, Brandl R. Notfall: Der akute Extremitätenschmerz.  MMW-Fortschritt. 2008;  23 30-32
    Google Scholar
  • 50 Stiegler H, Mendler G, Baumann G. et al . Prospetive study of 36 patients with 46 popliteal aneuryms with non-surgical treatment.  VASA. 2002;  31 43-46
    Google Scholar
  • 51 Stiegler H, v Kooten J. Chronic, pressure-induced compartment syndrome. A differential diagnosis for peripheral arterial disease.  Dtsch Med Wochenschr. 1997;  122 723-727
    Google Scholar
  • 52 Stone P A, Armstrong P A, Bandyk D F. et al . Duplex ultrasound criteria for femorofemoral bypass revision.  J Vasc Surg. 2006;  44 496-502
    Google Scholar
  • 53 Strauss A L, Schäberle W, Rieger H. et al . Use of duplex scanning in the diagnosis of arteria profunda femoris stenosis.  J Vasc Surg. 1991;  13 698-704
    Google Scholar
  • 54 Strauss A L, Schäberle W, Rieger H. et al . Duplex ultrasound studies of the deep femoral artery.  Z Kardiol. 1989;  78 567-572
    Google Scholar
  • 55 Tato F, Hoffmann U. Giant cell arteritis: a systemic vascular disease.  Vasc Med. 2008;  13 127-140
    Google Scholar
  • 56 Towne J B, Schmitt D D, Seabrook G R. et al . The effect of vein diameter on patency of in situ grafts.  J Cardiovasc Surg. 1991;  32 192-196
    Google Scholar
  • 57 Wixon C L, Mills J L, Westerband A. et al . An economic appraisal of lower extremity bypass graft maintenance.  J Vasc Surg. 2000;  32 1-12
    Google Scholar
  • 58 Zwicky S, Mahler F, Baumgartner I. Evaluation of clinical tests to assess perfusion in chronic critical limb ischemia.  VASA. 2002;  31 173-178
    Google Scholar

Dr. Hubert Stiegler

Klinik für Angiologie, Klinikum München Schwabing

Kölner Platz 1

80804 München

Phone: ++ 49/89/30 68 35 92

Fax: ++ 49/89/30 68 39 23

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