ArticleJournal of ultrasound2021
Duplex ultrasound versus CT angiography for the treatment planning of lower-limb arterial disease.
Article in Journal of ultrasound, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- 2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.Journal of the American College of Cardiology · 2024Guideline
- Guideline
- Evaluation of Short-Term Insulin Pump for Treatment of Patients with Type 2 Diabetes Mellitus Complicated with Lower Extremity Arterial Disease in Endocrinology by Ultrasonography.Computational and mathematical methods in medicine · 2022Trial
- Underuse of Preoperative Testing Before Index Peripheral Vascular Interventions for Claudication in the Outpatient Setting.Annals of vascular surgery · 2026Article
- Quaternion-based recurrent neural networks and machine learning for 3D modeling of superficial femoral artery dynamics: a theoretical framework for enhanced treatment outcomes.Frontiers in surgery · 2026Article
- Delayed hepatic artery pseudoaneurysm with arterioportal fistula after penetrating liver trauma successfully treated with coil embolization: a case report and focused literature review.Frontiers in surgery · 2026Article
- Comparison of three diagnostic imaging modalities for use in diabetic inferior arterial lesions.World journal of diabetes · 2025Article
- Therapeutic applications of natural products in the management of venous diseases: a comprehensive review.Inflammopharmacology · 2025Review
- Comparison of Duplex Ultrasound and Digital Subtraction Angiography for Assessing Tibial Vessel Disease.Cureus · 2024Article
- Comparison between vascular Doppler ultrasound and contrast exams in chronic peripheral arterial disease.Jornal vascular brasileiro · 2024Article
- Peripheral Interventional Strategy Assessment (PISA) for Diabetic Foot Ulcer Revascularization: Preliminary Outcomes of a Multidisciplinary Pilot Study.Diagnostics (Basel, Switzerland) · 2023Article
- Chronic Limb-Threatening Ischemia and the Need for Revascularization.Journal of clinical medicine · 2023Review
- Application opportunity of Doppler ultrasound combined with CT angiography in diabetic lower extremity arterial disease and the analysis of the risk factors.Frontiers in endocrinology · 2023Article
- [The role of color-coded duplex sonography in preoperative vascular diagnostics in plastic surgery].Der Unfallchirurg · 2022Article
- [The proximally pedicled anterolateral thigh flap for reconstruction of complex soft tissue wounds of the hip and caudal trunk region].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022Article
- Analysis of Doppler ultrasonography and computer tomography angiography for predicting amputation level and re-amputation rate.Northern clinics of Istanbul · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to assess the diagnostic accuracy of duplex sonography (DUS) compared with that of computed tomography angiography (CTA) in detecting occlusion and stenosis in peripheral arterial disease (PAD) in candidate patients for endovascular revascularization with intraprocedural digital subtraction angiography (DSA).
methodsThe study involved 94 patients suffering from PAD who were candidates for endovascular procedures requiring DSA. They were all submitted preoperatively to DUS and CTA. Based on image analysis, five segments of the arterial tree were assessed: iliac, common femoral, superficial femoral, popliteal, and infrageniculate. According to the stenosis or occlusion degree, the arteries were rated as nonstenotic, stenotic, and occluded.
resultsThe agreement between DUS and CTA findings using DSA as a reference modality was expressed as a Cohen's kappa (κ) statistic agreement. Our results show that DUS has been less accurate than CTA in evaluating iliac arterial diseases (Cohen's κ agreement of 0.91 and 1.0, respectively) when measured against DSA. We found good diagnostic concordance between DUS and DSA in detecting hemodynamic stenosis and occlusion of the femoro-popliteal axis (Cohen's κ agreement between 0.96 and 0.93). Below the knee, CTA showed even less concordance with DSA (Cohen's κ 0.75).
conclusionsBecause of its accuracy, high-quality DUS performed by well-trained operators may therefore represent a good alternative to CTA in patients undergoing endovascular revascularization to minimize the use of contrast-enhanced radiological imaging. Nevertheless, preoperative CTA imaging is required in cases of nondiagnostic DUS or when a more complete overview of the vascular tree is needed for complex invasive interventions.
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