Angiography of arteries of the lower extremities is a minimally invasive technique of the study of anatomy and pathology of arteries of the lower extremities. Radial, brachial or femoral artery is used for the arterial access.
Indications for the procedure: intermittent claudication when walking the distance over 200 meters (Fontaine stage IIb, and IIa in particular cases), rest pain in a lower extremity (Fontaine stage ІІІ), trophic ulcers or gangrenous changes in a lower extremity (Fontaine stage ІV), critical lower limb ischemia (chronic or acute) at the suspicion on an aneurysmal damage of an artery, thromboembolic disease, embolization, control after the revascularization, Buerger disease.
The procedure provides for the minimally invasive endovascular, diagnostic intervention performed in an operating room, under local anesthesia and intravenous anesthesia (if needed), by a surgical team (surgeon, surgical nurse) to diagnose the arterial involvement of various localizations. A surgeon performs the puncture of the radial artery or the common femoral artery transcutaneously with a hydrophilic conductor with the diameter of 0.035’’ introducing a diagnostic catheter into the target artery. A surgeon performs the selective angiography of the target arterial basin using a catheter. The examination is performed under the control of radioscopy and X-ray radiography in various projections. After the examination, the surgical instruments are removed, and the hemostasis of the vascular access is performed.
Indications for the procedure: data of the clinical picture, of the echocardiographic examination of coronary vessels.
Service duration: 30 to 40 minutes. Stay in the hospital: 4 hours. Limit the food intake 4 hours before the surgical intervention.
A patient should have the results of the following laboratory and instrumental diagnostic tests before he/she undergoes the surgical intervention*:
Special aspects of service provision
The procedure has no age restrictions. Contraindications for the procedure: absolute – allergic reactions to contrast agents, active infectious process. Appointment for the surgical intervention is carried out only after a check-up by a specialist cardiac surgeon of Dobrobut clinic chain.
Biopsy (sampling for pathohistological examination during endoscopy), 1 site (segment)