Imaging of peripheral vascular disease

Mo Al-Qaisi¹, David M Nott¹, David H King¹, Sam Kaddoura², Mo Hamady³

¹Charing Cross Hospital, London, UK; ²Royal Brompton Hospital, London, UK; ³St. Mary’s Hospital, London, UK

Abstract: This illustrated review article gives an evidence-based update on the different modalities used for imaging peripheral vascular disease (duplex ultrasound, computed tomography angiography, magnetic resonance angiography, and digital subtraction angiography). After discussing the latest technological developments for each modality, their limitations are also highlighted. The evidence is presented for the various modalities’ roles in the imaging of peripheral vascular disease, including problem-solving applications. The strengths and weaknesses of each modality are therefore critically appraised, including the salient technological, clinical, and financial aspects. This review allows the general and specialist practitioner to make an informed decision on how best to deploy imaging tests in peripheral vascular disease as part of an evidence-based approach. The article concludes with a rational imaging algorithm for the investigation of peripheral vascular disease.

Keywords: imaging, peripheral, vascular, duplex, angiography, arterial