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Angiology
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Difficulty in Assessing the Severity of Aorto-Iliac Disease by Clinical and Arteriographic Methods

K. Wayne Johnston

Department of Surgery and Radiology, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada

Domingos Demorais

Department of Surgery and Radiology, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada

Ronald F. Colapinto

Department of Surgery and Radiology, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada

Accurate hemodynamic assessment of the severity of aorto-iliac disease has important implications in the management of patients with symptomatic peripheral arterial occlusive disease. This study has documented that history, clinical examination, and single-plane angiography are often unsatisfactory for assessing the hemodynamic significance of an aorto-iliac lesion. The use of oblique angiographic views, certain noninvasive methods, such as quanti tative Doppler waveform analysis, and direct pressure measurements will be of benefit in difficult cases and lead to a more accurate diagnosis.

Angiology, Vol. 32, No. 9, 609-614 (1981)
DOI: 10.1177/000331978103200904


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PERSPECT VASC SURG ENDOVASC THERHome page
R. W. Barnes
Evaluating Aortoiliac Disease: An Overview
Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1996; 9(1): 1 - 14.
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