Page 25 - Virtual Vascular Vol 8
P. 25

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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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