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Femoropopliteal Artery Occlusive Disease
T. Gregory Walker, MD, FSIR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Femoropopliteal artery occlusive disease: Stenosis or occlusion of common femoral artery (CFA), superficial femoral artery (SFA), or popliteal artery
            • Chronic total occlusion (CTO): Complete arterial obstruction lasting > 3 months; no luminal patency
              • Typically densely organized with fibrous tissue
                • May calcify; lesions often difficult to cross and treat

          IMAGING

          • General Features

            • Noninvasive Arterial Examination

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Napoli A et al: Peripheral arterial occlusive disease: diagnostic performance and effect on therapeutic management of 64-section CT angiography. Radiology. 261(3):976-86, 2011
                                      2. Bueno A et al: Diagnostic accuracy of contrast-enhanced magnetic resonance angiography and duplex ultrasound in patients with peripheral vascular disease. Vasc Endovascular Surg. 44(7):576-85, 2010
                                      3. Chan D et al: Imaging evaluation of lower extremity infrainguinal disease: role of the noninvasive vascular laboratory, computed tomography angiography, and magnetic resonance angiography. Tech Vasc Interv Radiol. 13(1):11-22, 2010
                                      4. Lyden SP et al: TASC II and the endovascular management of infrainguinal disease. J Endovasc Ther. 16(2 Suppl 2):II5-18, 2009
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Femoropopliteal artery occlusive disease: Stenosis or occlusion of common femoral artery (CFA), superficial femoral artery (SFA), or popliteal artery
                                                • Chronic total occlusion (CTO): Complete arterial obstruction lasting > 3 months; no luminal patency
                                                  • Typically densely organized with fibrous tissue
                                                    • May calcify; lesions often difficult to cross and treat

                                              IMAGING

                                              • General Features

                                                • Noninvasive Arterial Examination

                                                  • CT Findings

                                                    • MR Findings

                                                      • Angiographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Staging, Grading, & Classification

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Napoli A et al: Peripheral arterial occlusive disease: diagnostic performance and effect on therapeutic management of 64-section CT angiography. Radiology. 261(3):976-86, 2011
                                                                          2. Bueno A et al: Diagnostic accuracy of contrast-enhanced magnetic resonance angiography and duplex ultrasound in patients with peripheral vascular disease. Vasc Endovascular Surg. 44(7):576-85, 2010
                                                                          3. Chan D et al: Imaging evaluation of lower extremity infrainguinal disease: role of the noninvasive vascular laboratory, computed tomography angiography, and magnetic resonance angiography. Tech Vasc Interv Radiol. 13(1):11-22, 2010
                                                                          4. Lyden SP et al: TASC II and the endovascular management of infrainguinal disease. J Endovasc Ther. 16(2 Suppl 2):II5-18, 2009