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Catheter angiography and angioplasty in patients with scleroderma

Dick, EA; Aviv, R; Francis, I; Hamilton, G; Baker, D; Black, C; ... Watkinson, A; + view all (2001) Catheter angiography and angioplasty in patients with scleroderma. British Journal of Radiology , 74 (888) 1091 - 1096.

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Abstract

The objectives of this study were (i) to identify patterns of angiographic disease in scleroderma patients with and without other vascular risk factors and (ii) to define patients with scleroderma in whom angiography and angioplasty is useful. The records of 26 patients with scleroderma who underwent angiography and angioplasty over an 8-year period were reviewed. Angiographic disease patterns were assessed using a modified Brewster classification. Angiography of the upper limb demonstrated distal disease alone in 86% of patients, both with and without other vascular risk factors such as smoking. In the lower limb there was a highly significant association between the presence of other vascular risk factors and macrovascular disease potentially amenable to angioplasty, and conversely between the absence of other vascular risk factors and distal disease in the lower limb. Good early but poor late clinical results were achieved in three of five patients who underwent angioplasty. Angiography of the upper limb is likely to demonstrate distal disease alone, and angiography and angioplasty of the lower limb may be useful only if other vascular risk factors are present

Type:Article
Title:Catheter angiography and angioplasty in patients with scleroderma
Additional information:0373125, b28 Journal Article English
Keywords:Angiography, Angioplasty, catheter, Patient, patients, SCLERODERMA, 00 - ovidmedline, ABSENCE, adult, Aged, Angiography, Digital Subtraction, ARM, As, Association, blood supply, classification, clinical, disease, English, factors, Female, Hospital, Leg, limb, MACROVASCULAR DISEASE, Male, May, Middle Age, Other, Patient Selection, Pattern, PATTERNS, PERIOD, poor, radiography, Radiology, Result, Risk, RISK FACTOR, Risk Factors, RISK-FACTORS, Scleroderma, Systemic, Smoking, Surgery., UK, Upper, Upper Limb, UPPER-LIMB, vascular
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Medicine (Division of)
UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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