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DOI: 10.1148/radiol.2372040616
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DSA versus Multi–Detector Row CT Angiography in Peripheral Arterial Disease: Randomized Controlled Trial1

Marc C. J. M. Kock, MD, MSc, Miraude E. A. P. M. Adriaensen, MD, MSc2, Peter M. T. Pattynama, MD, PhD, Marc R. H. M. van Sambeek, MD, PhD, Hero van Urk, MD, PhD, Theo Stijnen, PhD and M. G. Myriam Hunink, MD, PhD

1 From the Program for the Assessment of Radiological Technology (M.C.J.M.K., M.E.A.P.M.A., M.G.M.H.) and the Departments of Radiology (M.C.J.M.K., P.M.T.P., M.G.M.H.), Vascular Surgery (M.R.H.M.v.S., H.v.U.), and Epidemiology & Biostatistics (M.C.J.M.K., M.E.A.P.M.A., T.S., M.G.M.H.), Erasmus Medical Center, Dr Molewaterplein 50, Rm Ee21-40a, 3015 GE Rotterdam, the Netherlands; and the Harvard School of Public Health, Boston, Mass (M.G.M.H.) Received April 4, 2004; revision requested June 16; revision received November 18; accepted December 30. Address correspondence to M.G.M.H. (e-mail: m.hunink{at}erasmusmc.nl).



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  		Figure 1. Trial flowchart. * = One patient in the DSA group did not undergo any diagnostic or therapeutic intervention, and no data of any kind were available for this patient (he did not respond to the questionnaires); therefore, all data for this patient were missing. {dagger} = Seven patients in the DSA group and eight patients in the multi–detector row CT angiography (MDCTA) group underwent both percutaneous intervention and a surgical procedure. DUS = Doppler US.

 


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  		Figure 2. Peripheral multi–detector row CT angiogram in 49-year-old man with absent femoral pulsations because of the Leriche syndrome. This coronal volume maximum intensity projection shows a complete occlusion of the abdominal aorta and both iliac arteries and indicates that there is collateral arterial supply from enlarged epigastric arteries in the abdominal wall (arrowheads), superficial iliac circumflex arteries (straight arrows), and a superficial external pudendal artery (curved arrow) .

 




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