MDCTA OF LOWER EXTREMITIES ARTERIES STENO-OCCLUSION IN VARIOUS AGE GROUPS AND BOTH GENDERS: STUDY INCLUDED 38 PATIENTS PRESENTED WITH CLINICAL MANIFESTATIONS
Abuhajar, Ramadan M
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The purpose of our study was to evaluate the role of Multi Detector Row Computed Tomography Angiography (MDCTA) in evaluating the Peripheral Arterial Disease (PAD) affecting the lower limb for Libyan patients presented with clinical manifestations. Thirty-eight patients referred in the period from December 2017 to March 2018 for Computed Tomogra-phy Angiography (CTA) of lower limb vessels to evaluate and diagnose the diseases of peripheral lower extremities arter-ies. For evaluation of the lower extremities arterial diseases 128-Row MDCT (Toshiba Aquilion, Japan) was used. After preparation of the patients, we used intravenous line for non-ionic iodinated contrast injection and the patients were scanned from renal level to the toes who took 20-30 seconds for scanning. Three-dimensional (3-D) visualization was essential. Thirty-eight patients with clinical manifestations referred for CTA of lower limbs arteries were with atheroscle-rotic steno-occlusive disease. 28 patients had claudication, 34 patients had rest pain with ischemia, 38 patients had Diabe-tes Mellitus (DM) and only two patients were with trauma. The scanning of the lower extremities’ arteries showed singu-lar or multiple atherosclerotic stenosis or occlusion. The largest group among the referred patients with clinical manifesta-tions was diabetic mellitus group and the smallest one was trauma group. MDCTA is preferred tool for evaluation of lower extremities arteries of patients with clinical manifestation. The arterial steno-occlusion increased by increasing age and more among males than females. Highly detected lower extremities’ arteries of atherosclerotic steno-occlusive disease were in patients with clinical manifestations (claudication, rest pain with ischemia, diabetes mellitus and trauma).