ANGIO-SONOGRAPHIC PARALLELS OF DIAGNOSIS OF ARTERIAL SYSTEM LESIONS IN PATIENTS WITH PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2020.3.11416Keywords:
subtraction digital angiography, ultrasound dopplerography, Cohen’s kappa coefficientAbstract
Summary. Ultrasound Doppler and angiography remain the most effective methods for diagnosing multilevel disease of the arterial system of the lower extremity.
The aim of the study – to compare the effectiveness of methods for diagnosing arterial insufficiency in patients with ischemic form of diabetic foot syndrome.
Materials and Methods. An analysis of the use of ultrasound Doppler and subtraction digital angiography in 51 patients who were hospitalized in the surgical in-patient unit of the Volyn Regional Hospital for War Veterans in the period from 2015 to 2019 was performed, with purulent-necrotic complications of diabetic foot syndrome and signs of arterial insufficiency. The Cohen’s kappa coefficient was used to compare the effectiveness of each method.
Results. According to the results of comparative analysis of the use of Doppler and angiography according to the Cohen’s kappa coefficient, the greatest coincidence was observed in the aorto-iliac and iliac-femoral segments, while the discrepancy was found in the diagnosis of distal segments, especially in obese patients and severe inflammatory changes.
Conclusions. Both methods of visualization of lesions of the arterial system are effective with a slight advantage of angiography in the diagnosis of lesions of the distal parts of the arterial system by the Cohen’s kappa coefficient.
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