Avtor/Urednik | Šabovič, Mišo; Videčnik, Viktor | |
Naslov | Klinični pomen ultrazvočne preiskave golenskih arterij | |
Prevedeni naslov | Clinical significance of ultrasound examination of crural arteries | |
Tip | članek | |
Vir | Med Razgl | |
Vol. in št. | Letnik 42, št. Suppl 2 | |
Leto izdaje | 2003 | |
Obseg | str. 47-50 | |
Jezik | slo | |
Abstrakt | Ultrasound examination of peripheral arteries has become common in clinical practice. The examination of crural arteries is the most difficult part, as it is highly dependent on the examiner's experience and skills. Examination is performed through predetermined ultrasound »windows«. The estimation of blood flow in crural arteries is particularly important when proximal arterial occlusion is present and such cases are relatively frequent in clinical practice. It is important to be aware that in 30% of such cases contrast angiography gives a wrong impression of occluded crural arteries. In cases with proximal occlusion, the examination technique should be adjusted. The patient should be examined in the seated position at a lower pulse repetition frequency (PRF). In the majority of cases, a careful examination will provide convincing information about the presence or absence of blood flow in crural arteries. | |
Izvleček | Ultrazvočna preiskava arterij nog se vedno bolj uveljavlja v klinični praksi in je v nekaterih centrih že nadomestila diagnostično kontrastno angiografijo. Medtem, ko je pregled iliakalne, femoralne in poplitealne arterije enostavnejši, je pregled golenskih arterij bolj zahteven. Pregled golenskih arterij opravimo iz določenih UZ "oken", kjer so golenske arterije najbolj dostopne pregledu. Ocena pretoka v golenskih arterijah je posebej pomembna v primeru zapor v proksimalnih arterijah. V takšnih primerih, ki so v klinični praksi relativno pogosti, angiografija kar v 30% primerov ne prikaže pretoka v golenskih arterijah, ko je le-ta prisoten. UZ pregled golenskih arterij v primeru proksimalnih zapor nekoliko prilagodimo. Bolnika pregledujemo v sedečem položaju; zaradi nižjih postokluzijskih hitrosti pretoka v golenskih arterijah uporabljamo nižji "pulse repetition frequency" (PRF). V večini primerov lahko z natančnim pregledom dokažemo prisotnost ali odsotnost pretoka in pogosto prikažemo zožitve ali zapore v golenskih arterijah. | |
Deskriptorji | ARTERIAL OCCLUSIVE DISEASES TIBIAL ARTERIES |