SCINTIGRAPHIC ASSESSMENT OF DISTAL EXTREMITY PERFUSION IN 17 PATIENTS

Autor: David E. Anderson, James K. Roush, James W. Carpenter, James J. Hoskinson, R. M. McLaughlin, Justin M. Goggin
Rok vydání: 1997
Předmět:
Zdroj: Veterinary Radiology Ultrasound. 38:211-220
ISSN: 1740-8261
1058-8183
DOI: 10.1111/j.1740-8261.1997.tb00843.x
Popis: To assess the role of scintigraphic evaluation of distal limb perfusion, the medical records and scintigraphic perfusion images of 17 animals (8 dogs, 2 cats, 2 calves, 4 birds and 1 ferret) with clinical signs of distal limb ischemia were examined retrospectively. Images were obtained at 5 and 10 minutes following injection of 99mTc-MDP, or 99mTc-DTPA. The initial scintigraphic diagnoses of 17 animals included complete ischemia (8/17), partially reduced perfusion (5/17), and normal to increased perfusion (4/17). In 4 of the animals with partially reduced perfusion, follow-up scans indicated progression to complete ischemia (1/4) or normal to increased perfusion (3/4). Nine of 17 animals had a final scintigraphic diagnosis of complete distal limb ischemia, and these animals were either euthanized (5/9) or had limb amputation (4/9). A final diagnosis of complete ischemia was supported with either repeat scanning (3/10), continued clinical observation (6/10) and/or pathological examination (10/10). Clinical signs of ischemia resolved in all (7/17) animals with increased or normal perfusion on their final scan. Scintigraphy provided a safe and noninvasive assessment of distal limb perfusion, which corresponded with clinical outcome.
Databáze: OpenAIRE