Page 24 - Virtual Vascular Vol 8
P. 24

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                                                                                                                             A plain X-ray of this thigh showed also cal-
                                                                                                                             cifications in the wall of his superficial and
                                                                                                                             deep femoral arteries (above).


                                                                                                                             A CT lower limb angiogram revealed the
                                                                                                                             lower limb arterial anatomy outlined by
                                                                                                                             calcium.  This investigation is expensive
                                                                                                                             and incurred radiation exposure.  The cal-
                                                                                                                             cium can cause significant artifacts and ac-
                                        A 66-year old diabetic man complaining of intermittent                               curate lumen assessment is not possible.

                                        claudication of this right thigh and calf.  A lateral X-ray                          This is the limitation of lower limb CTA
                                        of the spine showed extensive calcifications on the wall                             which should not be performed routinely
        24                              of the abdominal aorta and both common iliac arteries.                               for diagnostic purposes.                                                                                 25
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