J Korean Radiol Soc.  1979 Jun;15(1):95-100. 10.3348/jkrs.1979.15.1.95.

Arteriography in thromboangiitis obliterans

Abstract

Thromboangiitis obliterans is now concepted as a clinical entity with unknown etiology and pathogenesis, occuring in young adult male smoker. Peripheral arteriography is important for decision of biopsy site and vascular bypass graft whom thromboangiitis obliterans is suspected. At Department of Radiology, Seoul National University Hospital, 53 patients of thromboangiitis obliternas, were studied with peripheral arterography during August 1971 to Jan. 1979. Majority of patients are male smoker and age of below 40 years old. The arteriographic findings are acute and segmental occlusion and diffuse narrowing. The most frequent occlusion sites are anteriortibial artery and posterior tibial artery, and in 23 patients the occlusion was above popliteal artery. Proximalcork-screw type collaterals are developed in large arterial occlusion and distal tree-root appearance in small arterial occlusion below popliteal artery. Standing waves are seen in 17 arteries of 12 patients, and most frequent(7 arteries) in superficial femoral arteries.


MeSH Terms

Angiography*
Arteries
Biopsy
Femoral Artery
Humans
Male
Popliteal Artery
Seoul
Thromboangiitis Obliterans*
Tibial Arteries
Transplants
Young Adult
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