[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
July 1980

Dynamic Isotope Aortoiliac AssessmentClinical, Doppler, and Arteriographic Correlation

Author Affiliations

From the Vascular Surgery Section, Department of Surgery (Drs Carson, Hunter, and Wong), and the Department of Nuclear Medicine (Dr Farrer), Martinez Veterans Administration Medical Center, University of California, Davis, School of Medicine, Martinez.

Arch Surg. 1980;115(7):859-862. doi:10.1001/archsurg.1980.01380070047010
Abstract

• In the presence of multiple tandem arteriosclerotic stenoses of the distal aorta, iliac, and lower extremity arteries, it may be difficult to ascertain which lesions are clinically and surgically important. Usually the history, physical examination, and arteriogram will resolve this issue. However, a recent report has stated that the rapid transit time of isotope from the distal aorta to the femoral arteries may be helpful. The relevance of this technique in surgical candidates with different clinical stages of vascular disease has yet to be demonstrated. We compared the use of this technique in surgical candidates with their clinical state and assessment of vascular disease by standard angiographic and directional transcutaneous Doppler techniques. Only modest benefit from the isotope transit was found, particularly when compared with the patient's clinical status of asymptomatic, claudicating, or limb salvage categories. We conclude that isotope transit times as currently measured are not as clinically important as previously reported. With further development, some trends may prove to be useful.

(Arch Surg 115:859-862, 1980)

References
1.
Royster TS, Lynn R, Mulcare RJ:  Combined aortoiliac and femoropopliteal occlusive disease . Surg Gynecol Obstet 143:949-952, 1976.
2.
McCombs PR:  The pathophysiologic characteristics of superficial femoral artery occlusion . Surg Gynecol Obstet 148:775-784, 1979.
3.
Perdue G, Long WD, Smith RB:  Perspective concerning aortofemoral reconstruction . Ann Surg 173:940-944, 1971.Article
4.
Edwards WH, Wright RSA:  A technique for combined aortofemoropopliteal reconstruction . Ann Surg 179:572-579, 1974.Article
5.
Goldstone J, Malone JM, Moore WS:  Importance of the profunda femoris artery in primary and secondary arterial operations for lower extremity ischemia . Am J Surg 136:215-221, 1978.Article
6.
Lassen NA, Holstien P:  The use of radio isotopes in assessment of distal blood flow and distal blood pressure in arterial insufficiency . Surg Clin North Am 54:39-55, 1974.
7.
Applebert M, Lewis JD:  Evaluation of aortoiliac disease with Doppler ultrasound and isotope clearance techniques . SA Med J 12:1744-1746, 1975.
8.
Dibos PE, Muhletaler CA, Natarajan TK, et al:  Intravenous radio nuclide arteriography in peripheral occlusive arterial disease . Radiology 102:181-183, 1972.Article
9.
Hurlow RA, Chandler ST, Strachan CJL:  The assessment of aortoiliac disease by static isotope angiology . Br J Surg 65:263-266, 1978.Article
10.
Hurlow RA, Chandler ST, Hardman J, et al:  The non-invasive assessment of aortoiliac disease: A comparison of dynamic isotope angiology with thigh/brachial pressure index . Surgery 84:278-282, 1978.
11.
Lang E:  A survey of the complications of percutaneous retrograde arteriography . Radiology 81:257-263, 1963.Article
12.
Barnes RW, Haferman MD, Pertersen J:  Non-invasive assessment of altered limb haemodynamics and complications of arterial catheterization . Radiology 107:505-511, 1973.Article
13.
Bussat PL, Roy P:  Thoracic arteriography in cerebrovascular insufficiency . Angiology 18:6-12, 1967.Article
14.
Haut G, Amplatz K:  Complication rates of transfemoral and transaortic catheterization . Surgery 63:594-596, 1968.
15.
Jacobson B, Paulin S, Schlossman D:  Thromboembolism of the leg following percutaneous catheterization of femoral artery for angiography . Acta Radiol Diagn 8:97-108, 1969.
16.
Strandness DE, Sumner DS:  Applications of ultrasound to the study of arteriosclerosis obliterous . Angiology 26:187-197, 1975.Article
17.
Bergan JJ, Yao JST, Henkin RE, et al:  Radionuclide arteriography in detection of arterial aneurysms . Arch Surg 109:80-83, 1974.Article
18.
Scherer PW:  Flow in axisymmetrical glass model aneurysms . J Biomech 6:695-700, 1973.Article
19.
Nicolaides AN, Gordon-Smith IC, Dayandas J, et al:  The value of doppler velocity tracings in the detection of aortoiliac disease in patients with intermittent claudication . Surgery 80:774-778, 1976.
×