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DOI: 10.1055/s-2007-988963
Aortoiliac and femoropopliteal lesions in patients with concomitant peripheral arterial disease and medial arterial calcification
Purpose: Some patients with peripheral arterial disease (PAD) may have concomitant media involvement.
Aim: To analyze the localization and the degree of stenosis in patients with concomitant PAD and medial arterial calcification (MAC).
Subjects: 75 consecutive patients (57 males –60%, main age 72.6±6.3 years) admitted in the 5th Medical Clinic Cluj-Napoca between January and March 2006.
Methods: Duplex ultrasonography to characterize the plaques and continuous-wave Doppler technique to measure the rest ankle-brachial index (ABI). Rest ischemia was defined by ABI lower than 0.9. Patients with MAC had ABI higher than 1.3. The 15 subjects with plaques and MAC formed the group A (20%). A normal ABI (0.91–1.29) was found in 43 patients – group B (57.33%). The 17 patients with ischemia were included in the group C (22.67%).
Results: 70 subjects had aortoiliac stenoses of less than 50% –15 (group A), 39 (group B), and 16 (group C) – no significant. 8 patients had femoropopliteal stenoses greater than 50% –5 (group A), 1 (group B), and 2 (group C) – p<0.001. 54 femoropopliteal stenoses of less than 50% were identified in 7 patients of group A, in 42 subjects of group B, and in 5 of group C (p<0.001). 14 femoropopliteal occlusions were identified in 3 patients of group A and in 11 of group B (p<0.001).
Conclusion: The association MAC – femoropopliteal stenosis greater than 50% was significant.