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Abstract
Color duplex ultrasonography has increasing role as pre interventional imaging as well as a guiding modality to angioplasty procedures of lower limbs{u2019} arterial diseases in diabetic foot patients. The aim in this study is to assess the role of color duplex in diagnosis of lower limb arterial diseases and to compare color duplex with conventional fluoroscopy in guiding interventional procedures. This study included 30 patients (70% males and 30% females) aged 47 - 68 years (mean 57.13 + / - 5.48 SD). All are diabetic, 70% hypertensive, 46.7% cardiac, 30% with renal impairment, 46.7% smokers and 20% with contrast allergy. All patients were symptomatizing; 23 with claudication, 7 with rest pain, 4 with ischemic ulcers and 3 with gangrene. All of the 30 patients had preinterventional duplex; fifteen of them had fluoroscopic - guided angioplasty (group I) and the other fifteen patients had duplex - guided angioplasty group II. The 30 patients had femoropopliteal angioplasty, six of them proceeded to infrapopliteal angioplasty to improve the distal run - off; three of them were in group I and three in group II. Statistical analyses of the results using the statistical package SPSS version 21