open access

Vol 6, No 1 (2003)
Published online: 2003-01-03
Submitted: 2012-01-23
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Scintigraphic and ultrasonographic assessment of the effect of lumbar sympathectomy upon chronic arteriosclerotic ischaemia of lower extremities

Janusz Dąbrowski, Jacek Mikosiński, Jacek Kuśmierek
Nucl. Med. Rev 2003;6(1):17-22.

open access

Vol 6, No 1 (2003)
Published online: 2003-01-03
Submitted: 2012-01-23

Abstract

The aim of the study was an evaluation of the effect of onesided lumbar sympathectomy in patients with peripheral vascular disease of lower extremity(ies), using perfusion scintigraphy with 99mTc-MIBI and ultrasound Doppler blood flow-rate measurements. A secondary aim was a comparison of the diagnostic efficacy of the two techniques applied.
The study was performed on 30 patients, studied prior to and early after one-sided lumbar sympathectomy. The scintigraphy yielded results indicating a statistically significant increase in perfusion of femoral and calf muscles (p < 0.001). Ultrasound investigation demonstrated significant (p < 0.001) increase of the maximal blood flow rate in the popliteal artery. Scintigraphic perfusion study yielded better agreement with the clinical evaluation than the ultrasound Doppler technique (83 v. 47 per cent, p < 0.01) and higher sensitivity in demonstration of improved blood supply (88 v. 36 per cent, p < 0.001).

Abstract

The aim of the study was an evaluation of the effect of onesided lumbar sympathectomy in patients with peripheral vascular disease of lower extremity(ies), using perfusion scintigraphy with 99mTc-MIBI and ultrasound Doppler blood flow-rate measurements. A secondary aim was a comparison of the diagnostic efficacy of the two techniques applied.
The study was performed on 30 patients, studied prior to and early after one-sided lumbar sympathectomy. The scintigraphy yielded results indicating a statistically significant increase in perfusion of femoral and calf muscles (p < 0.001). Ultrasound investigation demonstrated significant (p < 0.001) increase of the maximal blood flow rate in the popliteal artery. Scintigraphic perfusion study yielded better agreement with the clinical evaluation than the ultrasound Doppler technique (83 v. 47 per cent, p < 0.01) and higher sensitivity in demonstration of improved blood supply (88 v. 36 per cent, p < 0.001).
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Keywords

lumbar sympathectomy; muscular perfusion scintigraphy; ultrasound measurements of blood flow rate

About this article
Title

Scintigraphic and ultrasonographic assessment of the effect of lumbar sympathectomy upon chronic arteriosclerotic ischaemia of lower extremities

Journal

Nuclear Medicine Review

Issue

Vol 6, No 1 (2003)

Pages

17-22

Published online

2003-01-03

Bibliographic record

Nucl. Med. Rev 2003;6(1):17-22.

Keywords

lumbar sympathectomy
muscular perfusion scintigraphy
ultrasound measurements of blood flow rate

Authors

Janusz Dąbrowski
Jacek Mikosiński
Jacek Kuśmierek

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