J Korean Radiol Soc.  1994 Jun;30(6):1021-1028.

Usefulness of IV-DSA in Peripheral Arterial Obstructive Disease

• Na JB
• Lee DY
• Shim WH

Abstract

PURPOSE
This study was designed to evaluate usefulness of intravenous digital subtraction angiography (IV-DSA) in detection of peripheral arterial obstructive disease(PAOD) and in follow-up of percutaneous transluminal angioplasty(PTA).
MATERIALS AND METHODS
35 Patients who had clinical symptoms and signs of compromised lower extremity perfusion, was screened with IV-DSA and then performed confirmative conventional angiography. We obtained sensitivity, specificity and accuracy of IV-DSA by comparing the findings of IV-DSA with those of conventional angiography. 21 patients who had been performed successful PTA, were foliowed-up with IV-DSA in 3, 6, 12months. We studied patency rate and factors that influenced restenosis.
RESULTS
The sensitivity, specificity and accuracy of IV-DSA were 100%, 97%, 97% in lilac artery, 92%, 96%, 93% in femoropopliteal artery, 85%, 75%, 70% in proximal tibioperoneal artery retrospectively. IV-DSA follow up after PTA showed patency rate of 67% in first 3month, 67% in 2nd 3month, 60% in next 6month. Longer length and more irregular surface of the stenotic site, and higher incidence of run-off of vessel and of residual stenosis in the patients with restenosis were noted.
CONCLUSION
High sensitivity, specificity and accuracy of IV-DSA in evaluating PAOD suggest that IV-DSA is useful in screening, planning therapy and following up after PTA.

MeSH Terms

Angiography
Angiography, Digital Subtraction
Arterial Occlusive Diseases*
Arteries
Constriction, Pathologic
Follow-Up Studies
Humans
Incidence
Lower Extremity
Mass Screening
Perfusion
Retrospective Studies
Sensitivity and Specificity