Perfusion Angiography of the Foot in Patients with Critical Limb Ischemia: Description of the Technique
Objective To study the feasibility of 2D perfusion imaging in critical limb ischemia (CLI). Methods/Results Perfusion angiography is a new technology which was tested in 18 patients with CLI of the foot. A standardized protocol was used with a catheter placed at the mid-part of the popliteal artery,...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2015-02, Vol.38 (1), p.201-205 |
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| creator | Jens, Sjoerd Marquering, Henk A. Koelemay, Mark J. W. Reekers, Jim A. |
| description | Objective
To study the feasibility of 2D perfusion imaging in critical limb ischemia (CLI).
Methods/Results
Perfusion angiography is a new technology which was tested in 18 patients with CLI of the foot. A standardized protocol was used with a catheter placed at the mid-part of the popliteal artery, and a total of 9 cc of non-ionic iodinated contrast material was injected at a rate of 3 cc/sec. The technology is based on early cardiology research where iodinated contrast agents were used for imaging of cardiac perfusion. During the first pass of the contrast, there is a significant diffusion of the contrast agents into the interstitial space, particularly for non-ionic and low-molecular-weight compounds.
Discussion
The original angiography data can be used to make a time–density curve, which represents the actual perfusion of the foot in time. Angiographic perfusion imaging is a post-processing modality for which no extra contrast or radiation is needed. With this technique, it is possible to get more information about the perfusion status and microcirculation of the foot. This is a step toward functional imaging in CLI patients. |
| doi_str_mv | 10.1007/s00270-014-1036-5 |
| format | Article |
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To study the feasibility of 2D perfusion imaging in critical limb ischemia (CLI).
Methods/Results
Perfusion angiography is a new technology which was tested in 18 patients with CLI of the foot. A standardized protocol was used with a catheter placed at the mid-part of the popliteal artery, and a total of 9 cc of non-ionic iodinated contrast material was injected at a rate of 3 cc/sec. The technology is based on early cardiology research where iodinated contrast agents were used for imaging of cardiac perfusion. During the first pass of the contrast, there is a significant diffusion of the contrast agents into the interstitial space, particularly for non-ionic and low-molecular-weight compounds.
Discussion
The original angiography data can be used to make a time–density curve, which represents the actual perfusion of the foot in time. Angiographic perfusion imaging is a post-processing modality for which no extra contrast or radiation is needed. With this technique, it is possible to get more information about the perfusion status and microcirculation of the foot. This is a step toward functional imaging in CLI patients.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-014-1036-5</identifier><identifier>PMID: 25501266</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Angiography ; ARTERIES ; BIOMEDICAL RADIOGRAPHY ; Blood Flow Velocity ; Cardiology ; CONTRAST MEDIA ; DENSITY ; Feasibility Studies ; FEET ; Foot - blood supply ; Foot - diagnostic imaging ; Humans ; Image Enhancement ; Imaging ; ISCHEMIA ; Ischemia - diagnostic imaging ; Ischemia - etiology ; Medicine ; Medicine & Public Health ; MOLECULAR WEIGHT ; Nuclear Medicine ; PATIENTS ; Perfusion Imaging - methods ; Peripheral Arterial Disease - etiology ; Popliteal Artery - diagnostic imaging ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Technical Note ; Triiodobenzoic Acids ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2015-02, Vol.38 (1), p.201-205</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014</rights><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-2b76e1e07c71e3e92ae3b049d68de6a7336d413fb9d4241c8e4e686b7153b80d3</citedby><cites>FETCH-LOGICAL-c433t-2b76e1e07c71e3e92ae3b049d68de6a7336d413fb9d4241c8e4e686b7153b80d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-014-1036-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-014-1036-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25501266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22470120$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Jens, Sjoerd</creatorcontrib><creatorcontrib>Marquering, Henk A.</creatorcontrib><creatorcontrib>Koelemay, Mark J. W.</creatorcontrib><creatorcontrib>Reekers, Jim A.</creatorcontrib><title>Perfusion Angiography of the Foot in Patients with Critical Limb Ischemia: Description of the Technique</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Objective
To study the feasibility of 2D perfusion imaging in critical limb ischemia (CLI).
Methods/Results
Perfusion angiography is a new technology which was tested in 18 patients with CLI of the foot. A standardized protocol was used with a catheter placed at the mid-part of the popliteal artery, and a total of 9 cc of non-ionic iodinated contrast material was injected at a rate of 3 cc/sec. The technology is based on early cardiology research where iodinated contrast agents were used for imaging of cardiac perfusion. During the first pass of the contrast, there is a significant diffusion of the contrast agents into the interstitial space, particularly for non-ionic and low-molecular-weight compounds.
Discussion
The original angiography data can be used to make a time–density curve, which represents the actual perfusion of the foot in time. Angiographic perfusion imaging is a post-processing modality for which no extra contrast or radiation is needed. With this technique, it is possible to get more information about the perfusion status and microcirculation of the foot. This is a step toward functional imaging in CLI patients.</description><subject>Angiography</subject><subject>ARTERIES</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Blood Flow Velocity</subject><subject>Cardiology</subject><subject>CONTRAST MEDIA</subject><subject>DENSITY</subject><subject>Feasibility Studies</subject><subject>FEET</subject><subject>Foot - blood supply</subject><subject>Foot - diagnostic imaging</subject><subject>Humans</subject><subject>Image Enhancement</subject><subject>Imaging</subject><subject>ISCHEMIA</subject><subject>Ischemia - diagnostic imaging</subject><subject>Ischemia - etiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>MOLECULAR WEIGHT</subject><subject>Nuclear Medicine</subject><subject>PATIENTS</subject><subject>Perfusion Imaging - methods</subject><subject>Peripheral Arterial Disease - etiology</subject><subject>Popliteal Artery - diagnostic imaging</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Technical Note</subject><subject>Triiodobenzoic Acids</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1vEzEQhi0EoqHwA7ggS1y4LIy_N9yqQKFSJHooEjdr1zubdZXYwfYK9d_jaEPhwmkO88wzM3oJec3gPQMwHzIAN9AAkw0DoRv1hKyYFLyBVv94SlbATO0oxS7Ii5zvAZhquXpOLrhSwLjWK7K7xTTO2cdAr8LOx13qjtMDjSMtE9LrGAv1gd52xWMomf7yZaKb5It33Z5u_aGnN9lNePDdR_oJs0v-WE6ys-AO3RT8zxlfkmdjt8_46lwvyffrz3ebr83225ebzdW2cVKI0vDeaGQIxhmGAte8Q9GDXA-6HVB3Rgg9SCbGfj1ILplrUaJudW-YEn0Lg7gkbxdvzMXb7HypF7gYArpiOZem_g2VerdQxxTrcbnYg88O9_suYJyzZVpxsTYS2r_CR_Q-zinUHyolFUiu2xPFFsqlmHPC0R6TP3TpwTKwp6zskpWtWdlTVlbVmTdn89wfcHic-BNOBfgC5NoKO0z_rP6v9Tdqup0H</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Jens, Sjoerd</creator><creator>Marquering, Henk A.</creator><creator>Koelemay, Mark J. W.</creator><creator>Reekers, Jim A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20150201</creationdate><title>Perfusion Angiography of the Foot in Patients with Critical Limb Ischemia: Description of the Technique</title><author>Jens, Sjoerd ; Marquering, Henk A. ; Koelemay, Mark J. W. ; Reekers, Jim A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-2b76e1e07c71e3e92ae3b049d68de6a7336d413fb9d4241c8e4e686b7153b80d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Angiography</topic><topic>ARTERIES</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>Blood Flow Velocity</topic><topic>Cardiology</topic><topic>CONTRAST MEDIA</topic><topic>DENSITY</topic><topic>Feasibility Studies</topic><topic>FEET</topic><topic>Foot - blood supply</topic><topic>Foot - diagnostic imaging</topic><topic>Humans</topic><topic>Image Enhancement</topic><topic>Imaging</topic><topic>ISCHEMIA</topic><topic>Ischemia - diagnostic imaging</topic><topic>Ischemia - etiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>MOLECULAR WEIGHT</topic><topic>Nuclear Medicine</topic><topic>PATIENTS</topic><topic>Perfusion Imaging - methods</topic><topic>Peripheral Arterial Disease - etiology</topic><topic>Popliteal Artery - diagnostic imaging</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Technical Note</topic><topic>Triiodobenzoic Acids</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jens, Sjoerd</creatorcontrib><creatorcontrib>Marquering, Henk A.</creatorcontrib><creatorcontrib>Koelemay, Mark J. W.</creatorcontrib><creatorcontrib>Reekers, Jim A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jens, Sjoerd</au><au>Marquering, Henk A.</au><au>Koelemay, Mark J. W.</au><au>Reekers, Jim A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perfusion Angiography of the Foot in Patients with Critical Limb Ischemia: Description of the Technique</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>38</volume><issue>1</issue><spage>201</spage><epage>205</epage><pages>201-205</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Objective
To study the feasibility of 2D perfusion imaging in critical limb ischemia (CLI).
Methods/Results
Perfusion angiography is a new technology which was tested in 18 patients with CLI of the foot. A standardized protocol was used with a catheter placed at the mid-part of the popliteal artery, and a total of 9 cc of non-ionic iodinated contrast material was injected at a rate of 3 cc/sec. The technology is based on early cardiology research where iodinated contrast agents were used for imaging of cardiac perfusion. During the first pass of the contrast, there is a significant diffusion of the contrast agents into the interstitial space, particularly for non-ionic and low-molecular-weight compounds.
Discussion
The original angiography data can be used to make a time–density curve, which represents the actual perfusion of the foot in time. Angiographic perfusion imaging is a post-processing modality for which no extra contrast or radiation is needed. With this technique, it is possible to get more information about the perfusion status and microcirculation of the foot. This is a step toward functional imaging in CLI patients.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25501266</pmid><doi>10.1007/s00270-014-1036-5</doi><tpages>5</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2015-02, Vol.38 (1), p.201-205 |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Angiography ARTERIES BIOMEDICAL RADIOGRAPHY Blood Flow Velocity Cardiology CONTRAST MEDIA DENSITY Feasibility Studies FEET Foot - blood supply Foot - diagnostic imaging Humans Image Enhancement Imaging ISCHEMIA Ischemia - diagnostic imaging Ischemia - etiology Medicine Medicine & Public Health MOLECULAR WEIGHT Nuclear Medicine PATIENTS Perfusion Imaging - methods Peripheral Arterial Disease - etiology Popliteal Artery - diagnostic imaging Radiology RADIOLOGY AND NUCLEAR MEDICINE Technical Note Triiodobenzoic Acids Ultrasound |
| title | Perfusion Angiography of the Foot in Patients with Critical Limb Ischemia: Description of the Technique |
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