RT Journal Article
SR Electronic
T1 Noninvasive diagnostic strategies for peripheral arterial disease
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP S22
OP S29
VO 73
IS 10 suppl 4
A1 Amjad AlMahameed
A1 John R. Bartholomew
A1 Susan M. Begelman
A1 Michael R. Jaff
YR 2006
UL http://www.ccjm.org/content/73/10_suppl_4/S22.abstract
AB A variety of diagnostic methods for peripheral arterial disease (PAD) are available, each with strengths and limitations. The ankle-brachial index is a simple and useful screening tool for PAD that can be performed in the office setting. Segmental limb pressure examinations and pulse volume recordings aid in identifying the location of disease. Pulse volume recordings are especially useful, along with the ankle-brachial index, in assessing functional status during exercise. Duplex ultrasonography, magnetic resonance angiography, and computed tomographic angiography are helpful in providing anatomic detail and thus yield additional information for planning interventional therapy. Conventional angiography, the “gold standard” study for PAD diagnosis, is now usually pursued only once an intervention is planned.