dc.contributor.author
Werncke, Thomas
dc.contributor.author
Ringe, Kristina Imeen
dc.contributor.author
Falck, Christian von
dc.contributor.author
Kruschewski, Martin
dc.contributor.author
Wacker, Frank
dc.contributor.author
Meyer, Bernhard Christian
dc.date.accessioned
2018-06-08T04:07:56Z
dc.date.available
2015-05-06T11:16:59.027Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/16641
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-20822
dc.description.abstract
Objectives To investigate the reliability of CT-angiography of the lower
extremities (run-off CTA) to derive a treatment decision in patients with
acute and chronic peripheral artery disease (PAD). Materials and Methods 314
patients referred for run-off CTA were includ-ed in this retrospective study.
First, diagnostic confidence of run-off CTA to derive a treat-ment decision
was assessed in an interdisciplinary vascular conference using a 2 point scale
(sufficient or not sufficient diagnostic confidence) and compared with the
image quality eval-uated by two readers in consensus in four different levels
(abdominopelvic, thigh, calf, foot arteries). Second, reliability of treatment
decision was verified in all patients undergoing re-vascularization therapy.
Results Diagnostic confidence of run-off CTA to derive a treatment deci-sion
was sufficient in all patients with acute and in 97% of patients (215/221)
with chronic PAD, whereas the rate of run-off CTA with non-diagnostic image
quality was considerably higher in the calf and foot level (acute vs. chronic;
calf: 28% vs.17%; foot: 52% vs. 20%). Reliability of treatment decision was
superior for patients with chronic (123/133 = 92%) than for patients with
acute PAD (64/78 = 82%, P = 0.02). Conclusion Run-off CTA is a reliable
imaging modality for primary diag-nostic work-up of patients with acute and
chronic PAD.
de
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit
dc.title
Diagnostic Confidence of Run-Off CT-Angiography as the Primary Diagnostic
Imaging Modality in Patients Presenting with Acute or Chronic Peripheral
Arterial Disease
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation
PLoS ONE. - 10 (2015), 4, Artikel Nr. e0119900
dcterms.bibliographicCitation.doi
10.1371/journal.pone.0119900
dcterms.bibliographicCitation.url
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0119900
refubium.affiliation
Charité - Universitätsmedizin Berlin
de
refubium.mycore.fudocsId
FUDOCS_document_000000022377
refubium.note.author
Der Artikel wurde in einer Open-Access-Zeitschrift publiziert.
refubium.resourceType.isindependentpub
no
refubium.mycore.derivateId
FUDOCS_derivate_000000004873
dcterms.accessRights.openaire
open access