Aortoiliac and femoropopliteal lesions in patients with concomitant peripheral arterial disease and medial arterial calcification

Purpose: Some patients with peripheral arterial disease (PAD) may have concomitant media involvement. Aim: To analyze the localization and the degree of stenosis in patients with concomitant PAD and medial arterial calcification (MAC). Subjects: 75 consecutive patients (57 males –60%, main age 72.6±6.3 years) admitted in the 5th Medical Clinic Cluj-Napoca between January and March 2006. Methods: Duplex ultrasonography to characterize the plaques and continuous-wave Doppler technique to measure the rest ankle-brachial index (ABI). Rest ischemia was defined by ABI lower than 0.9. Patients with MAC had ABI higher t…