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Complex combination of femoropopliteal occlusive disease and arteriovenous fistula treated using color-coded digital subtraction angiography  Shinichi.

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Presentation on theme: "Complex combination of femoropopliteal occlusive disease and arteriovenous fistula treated using color-coded digital subtraction angiography  Shinichi."— Presentation transcript:

1 Complex combination of femoropopliteal occlusive disease and arteriovenous fistula treated using color-coded digital subtraction angiography  Shinichi Iwakoshi, MD, Kengo Konishi, DHSc, Takeshi Inoue, DHSc, Amelia Claire Watkins, MD, Shigeo Ichihashi, MD, Kimihiko Kichikawa, MD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 5, Issue 3, Pages (September 2019) DOI: /j.jvscit Copyright © 2019 The Authors Terms and Conditions

2 Fig 1 Preoperative computed tomography demonstrated the diffuse stenosis of the left superficial femoral artery (SFA; dotted line) and early enhancement at the left common femoral vein (arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

3 Fig 2 a, Color-coded map of pretreatment angiography. Three regions of interest (ROIs) are identified. b, The time-contrast intensity curve of each ROI. The red, green, and blue lines represent the reference, the shunt flow, and the superficial femoral artery (SFA) flow, respectively. The vertical axis shows contrast medium concentration in the percentage to maximum concentration of reference. The horizontal axis shows the time. c, Peak time and ratio of area under the curve (AUC) and ROIs. The peak time was 4.64 seconds at the left common femoral vein and 3.78 seconds at the proximal side of the left SFA. The ratio of AUC was 0.67 at shunt point and 0.45 at proximal side of SFA. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

4 Fig 3 a, Color-coded map of angiography performed after balloon angioplasty. b, The time-contrast intensity curve of each region of interest (ROI). c, The peak time was 3.98 seconds at the left common femoral vein and 3.32 seconds at the proximal side of the left superficial femoral artery (SFA). The ratio of area under the curve (AUC) was 0.69 at shunt point and 0.70 at proximal side of SFA. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

5 Fig 4 a, Conventional angiography before treatment. The arrowhead represents the common femoral vein. b, Conventional angiography after treatment. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions

6 Fig 5 a, Color-coded map of angiography performed after intervention. b, The time-contrast intensity curve of each region of interest (ROI). c, The peak time was 5.37 seconds at the left common femoral vein and 2.72 seconds at the proximal side of the left superficial femoral artery (SFA). The ratio of area under the curve (AUC) was 0.35 at shunt point and 0.93 at proximal side of SFA. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, DOI: ( /j.jvscit ) Copyright © 2019 The Authors Terms and Conditions


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