NEW ULTRASOUND MODES USAGE IN THE DETECTION OF COMPLEX PATHOLOGY OF ARTERIAL AND VENOUS LEVELS OF LOWER EXTREMITIES AMONG PATIENTS WITH DIABETES TYPE 2

Zubarev A.R., Krivosheeva N.V.

N.I. Pirogov Russian National Research Medical University. Moscow, Russia.

Purpose. To identify the co-incidence of arterial and venous disease among patients with diabetes type 2. To identify opportunities for new modes of ultrasound testing – quantitate evaluation of acoustic structure - ASQ (Acoustic Structure Quantification), microvascular mapping with high spatial and temporal resolution of SMI (Superb Microvascular Imaging) in an examination among patients with diabetes type 2.

Materials and methods. The study included 31 patients aged from 65 to 86 years with symptoms of unilateral or bilateral hemodynamically significant stenosis of the lower extremities arteries. There were 13 men (41.9%), women - 18 (58.1%). Complete clinical examination was performed to all patients, including ultrasound examination of the arterial and venous lower limbs using ultrasound device Aplio ™ 500 by Toshiba.

Results. The inclusion of new ultrasound modes in the examination algorithm in patients with diabetes type 2 – the quantitate evaluation of acoustic structure - ASQ (Acoustic Structure Quantification), microvascular mapping with high spatial and temporal SMI resolution (Superb Microvascular Imaging), will form a complex algorithm for the evaluation of lower limbs vasculature, that will provide a differentiated approach for the prevention and treatment of diabetic foot syndrome among patients with diabetes type 2.

Conclusions. During the examination of older patients with diabetes type 2 it is necessary to include the new modes of examination in the algorithm of ultrasound examination - quantitate evaluation of acoustic structure -ASQ structure (Acoustic Structure Quantification), microvascular mapping with high spatial and temporal resolution of SMI (Superb Microvascular Imaging) for a reliable assessment of lower limb arterial and venous bed status. The data obtained allows the clinician to form a reasonable tactic for patient management with diabetic foot syndrome based on identified complex pathology of the lower limb vessels.

Keywords: diabetes, arteries and veins of the lower extremities, atherosclerotic plaque, thrombotic mass.

 

Corresponding author:  Zubarev A. R., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Zubarev A.R., Krivosheeva N.V., New ultrasound modesusage in the detection of complex pathology of arterial and venous levels of lower extremities among patients with diabetes type 2.REJR. 2016; 6 (4):86-98. DOI:10.21569/2222-7415-2016-6-4-86- 98.

 

Received: 12.10.2016 Accepted: 26.10.2016