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Additional value of B‐flow imaging in arterial wall calcifications
Authors:Fabrizio D'Abate MSc  AVS  Jorg L. de Bruin MD  FRCS
Affiliation:St George's Vascular Institute, 4th Floor St James Wing, St George's Healthcare NHS Trust, Blackshaw Road, London SW17 0QT, UK
Abstract:The accuracy of color Doppler ultrasonography (CDU) is hampered by the presence of arterial wall calcifications. B‐flow imaging may overcome these limitations. We present a case of a severely calcified stenosis of the right common femoral artery (CFA) diagnosed with the aid of B‐flow imaging. Both the CT angiography scan and CDU were limited by the presence of diffuse dense arterial calcifications. B‐flow imaging showed a >75% stenosis of the CFA. B‐flow imaging appears to improve the accuracy of CDU in the presence of calcified stenosis of the CFA. It is of clinical relevance to improve the duplex sonographic accuracy, ideally reducing the need for other imaging modalities prior to surgery. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46 :136–139, 2018
Keywords:B‐flow imaging  calcification  peripheral arterial disease  ultrasonography
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