Page 28 - Virtual Vascular Vol 10
P. 28

Sometimes it is
        difficult to
        appreciate the                                                                                                                                                                                  Diabetic Foot

        degree of
        stenosis from a 3

        D reconstruction
        of a CT
        angiogram, as
        calcification may

        obscure the
        luminal view.
        Examining the

        transverse cuts
        may be more
        informative.





                                                                                         With severe

                                                                                         calcification, it is
                                                                                         difficult to
                                                                                         appreciate the

                                                                                         degree of
                                                                                         stenosis from a 3
                                                                                         D reconstructed

                                                                                         CT angiogram
        Collateral
        circulation may

        indicate
        significant
        stenosis






                                                                                                                               This patient suffered from diabetes mellitus and presented with a 3 month history of gan-
                                                                                                                               grene and ulceration of his right foot with severe soft tissue infection involving the second
                                                                                                                               toe.

















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