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EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS Majid Moini , Zohreh Annabestani , Shahrzad Mohseni , Masoume Mansouri Sina Hospital Tehran University Of Medical Sciences ,Tehran,Iran Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
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EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

May 24, 2015

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Moini Majid, Annabestani Zohreh, Mohseni Shahrzad, Mansouri Masoume
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Page 1: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

EVALUATION OF MR ANGIOGRAPHY RESULTSIN DIABETIC FOOT PATIENTS

Majid Moini�, Zohreh Annabestani�, Shahrzad Mohseni�, Masoume Mansouri�

Sina Hospital Tehran University Of Medical Sciences ,Tehran,Iran١

� Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University ofMedical Sciences, Tehran, Iran�Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute,Tehran University of Medical Sciences, Tehran, Iran

Page 2: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

INTRODUCTION

Diabetic Ischemic Ulcer

Page 3: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

STUDY AIM

■ Evaluate MRA results■ Relation of MRA to Ankle Brachial Index (ABI)

as a primary diagnostic test of choice inp y g

detecting :

peripheral arterial disease (PAD).

Page 4: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

CLINICAL STUDY&RESULTES

Patients

Cross Sectional Study

PatientsN:��

clinicallysymptoms of

PAD

■ ABI: ��% out of range

■ MRA : ��.�% abnormal

Page 5: EWMA 2014 - EP485 EVALUATION OF MR ANGIOGRAPHY RESULTS IN DIABETIC FOOT PATIENTS

CONCLUSION

■ In severe ischemia, the results of ABI&MRA are inthe same

■ In severe ischemia ABI is trustworthy, but in otherdegrees of ischemia MRA should be used

■More patients to determine which kind ofabnormality associate with outcome includinghealing or amputation.