Page 29 - Virtual Vascular Vol 10

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.

28 29