Download - EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

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Page 1: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

EVALUATION OF MR ANGIOGRAPHY RESULTSIN DIABETIC FOOT PATIENTS

Majid Moini�, Zohreh Annabestani�, Shahrzad Mohseni�, Masoume Mansouri�

Sina Hospital Tehran University Of Medical Sciences ,Tehran,Iran١

� Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University ofMedical Sciences, Tehran, Iran�Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute,Tehran University of Medical Sciences, Tehran, Iran

Page 2: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

INTRODUCTION

Diabetic Ischemic Ulcer

Page 3: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

STUDY AIM

■ Evaluate MRA results■ Relation of MRA to Ankle Brachial Index (ABI)

as a primary diagnostic test of choice inp y g

detecting :

peripheral arterial disease (PAD).

Page 4: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

CLINICAL STUDY&RESULTES

Patients

Cross Sectional Study

PatientsN:��

clinicallysymptoms of

PAD

■ ABI: ��% out of range

■ MRA : ��.�% abnormal

Page 5: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

CONCLUSION

■ In severe ischemia, the results of ABI&MRA are inthe same

■ In severe ischemia ABI is trustworthy, but in otherdegrees of ischemia MRA should be used

■More patients to determine which kind ofabnormality associate with outcome includinghealing or amputation.