Title

ACR Appropriateness Criteria ((R)) Nonatherosclerotic Peripheral Arterial Disease

UMMS Affiliation

Department of Radiology

Publication Date

2019-05-01

Document Type

Article

Disciplines

Cardiovascular Diseases | Diagnosis | Equipment and Supplies | Health Services Administration | Health Services Research | Radiology

Abstract

A broad range of nonatherosclerotic diseases affect the peripheral arteries. The appropriate initial diagnostic imaging studies vary, depending upon the clinical presentation and suspicion of disease. Accurate vascular imaging relies upon visualization of the vessel lumen, vessel wall, and surrounding soft-tissue structures, with some modalities also offering the ability to characterize blood flow direction and velocity. Furthermore, nonvascular findings are often paramount in supporting a suspected clinical syndrome or guiding surgical management. The scenarios discussed in this document include the initial evaluation of suspected popliteal entrapment syndrome, external iliac artery endofibrosis, lower-extremity inflammatory vasculitides, dissection or connective tissue disease, noninflammatory vascular disease, and vascular trauma. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Keywords

AUC, Appropriate Use Criteria, Appropriateness Criteria, External iliac artery endofibrosis, Lower-extremity vascular trauma, Peripheral arterial disease, Popliteal entrapment syndrome, Vasculitis

DOI of Published Version

10.1016/j.jacr.2019.02.026

Source

J Am Coll Radiol. 2019 May;16(5S):S174-S183. doi: 10.1016/j.jacr.2019.02.026. Link to article on publisher's site

Journal/Book/Conference Title

Journal of the American College of Radiology : JACR

Related Resources

Link to Article in PubMed

PubMed ID

31054743

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