Buerger's disease diagnostic study of choice

Revision as of 17:28, 11 April 2018 by Hadeel Maksoud (talk | contribs)
Jump to navigation Jump to search

Buerger's disease Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Buerger's Disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Buerger's disease diagnostic study of choice On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Buerger's disease diagnostic study of choice

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Buerger's disease diagnostic study of choice

CDC on Buerger's disease diagnostic study of choice

Buerger's disease diagnostic study of choice in the news

Blogs on Buerger's disease diagnostic study of choice

Directions to Hospitals Treating Buerger's disease

Risk calculators and risk factors for Buerger's disease diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

Although clinical examination is sufficient for diagnosis, in cases where diagnosis is not definitive, a catheter-based arteriogram is the gold standard test for the diagnosis of Buerger disease. The following result of catheter-based arteriogram is confirmatory of Buerger disease and includes, absence of atherosclerosis, no cause for thromboembolism, small and medium-sized vessels involved, namely tibial, popliteal, and radial arteries, segmental affection of vessels between normal appearing segments and corkscrew collaterals described as collateralization around occlusion area but are not pathognomonic.

Diagnostic Study of Choice

Study of choice

  • Although clinical examination is sufficient for diagnosis, in cases where diagnosis is not definitive, a catheter-based arteriogram is the gold standard test for the diagnosis of Buerger disease.
  • The following result of catheter-based arteriogram is confirmatory of Buerger disease:
    • Absence of atherosclerosis
    • No cause for thromboembolism
    • Small and medium-sized vessels involved, namely tibial, popliteal, and radial arteries
    • Segmental affection of vessels between normal appearing segments
    • Corkscrew collaterals described as collateralization around occlusion area but are not pathognomonic
Sequence of Diagnostic Studies
  • The catheter-based arteriogram should be performed when:
    • The patient presents with symptoms and signs that are consistent with Buerger's disease but not definite.

Diagnostic Criteria

  • The diagnosis of Buerger's disease is based on the Shionoya's criteria, which includes:
    • Less than 45 years old
    • Past or current history of tobacco intake
    • Ischemia of the distal extremities
    • Arteriographic findings suggestive of thromboangiitis obliterans
    • Exclusion of another organic causes such as a source of embolism, autoimmune disease, thrombophilia, or diabetes mellitus

References

Template:WH Template:WS