Clinical presentation and vascular imaging in giant cell arteritis of the femoropopliteal and tibioperoneal arteries. Analysis of four cases Federico.

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Presentation transcript:

Clinical presentation and vascular imaging in giant cell arteritis of the femoropopliteal and tibioperoneal arteries. Analysis of four cases Federico Tatò, MD, Ulrich Hoffmann, MD Journal of Vascular Surgery Volume 44, Issue 1, Pages 176-182 (July 2006) DOI: 10.1016/j.jvs.2006.02.054 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Digital subtraction angiogram of the right leg of patient 1, a 73-year-old man presenting with critical lower-limb ischemia. A, Multiple stenoses of the deep femoral artery and irregularities of the superficial femoral artery. B, Multiple stenoses of the distal superficial femoral artery and the supragenual popliteal artery. C, Occlusion of the tibioperoneal trunk and of the proximal calf arteries. Journal of Vascular Surgery 2006 44, 176-182DOI: (10.1016/j.jvs.2006.02.054) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Digital subtraction angiography of both legs in patient 2, a 58-year-old man with critical ischemia of both feet. A, Multiple stenoses of both deep femoral arteries. B, Long, smooth narrowing of both popliteal arteries. C, Occlusion of the posterior tibial and fibular arteries and multiple stenoses of the anterior tibial arteries. Journal of Vascular Surgery 2006 44, 176-182DOI: (10.1016/j.jvs.2006.02.054) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Color-coded duplex sonography in patient 4, a 61-year-old woman presenting with polymyalgia rheumatica and bilateral foot-claudication. Longitudinal (A) and cross-section (B) of the peroneal artery show concentric, hypoechogenic wall thickening. Journal of Vascular Surgery 2006 44, 176-182DOI: (10.1016/j.jvs.2006.02.054) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 Color-coded duplex sonography in patient 3, a 70-year-old woman presenting with bilateral calf-claudication. Longitudinal (A) and enlarged cross-section (B) of the left superficial femoral artery show occlusion of the lumen surrounded by a halo of hypoechogenic wall thickening. Journal of Vascular Surgery 2006 44, 176-182DOI: (10.1016/j.jvs.2006.02.054) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 5 Contrast-enhanced, T1-weighted MRI of the right popliteal region of patient 1, a 73-year-old man presenting with critical lower limb ischemia shows concentric thickening and marked enhancement of the popliteal artery wall (arrow). Journal of Vascular Surgery 2006 44, 176-182DOI: (10.1016/j.jvs.2006.02.054) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 6 Fluorine-18-desoxyglucose positron emission tomography in patient 1, a 73-year-old man presenting with critical lower limb ischemia. Lateral (A) and frontal (B) views of the popliteal and tibioperoneal arteries show marked vascular tracer uptake. C, Head and trunk of the same patient without significant tracer uptake in the central arteries. Journal of Vascular Surgery 2006 44, 176-182DOI: (10.1016/j.jvs.2006.02.054) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions