Buerger's disease other imaging findings

Buerger’s disease is diagnosed mostly clinically, however, in cases where diagnosis is indefinite and the extent of disease is unknown, a catheter-based arteriogram may be helpful in the diagnosis of Buerger’s disease. Findings on a catheter-based arteriogram suggestive of Buerger’s disease include the absence of atherosclerosis, lack of a source for thromboembolism, small and medium-sized vessel involvement, segmental affection of vessels between normal appearing segments, and corkscrew collaterals described as collateralizations around an occlusion area, however, this finding is not pathognomonic.

• Catheter-based arteriogram is able to detect early signs of vascular damage.^[1][2][3][4]
• A dye is injected into an artery and serial x-rays are taken.
• The following result of catheter-based arteriogram is confirmatory of Buerger disease:
  • Absence of atherosclerosis
  • No cause for thromboembolism
  • Small and medium-sized vessels involved, namely tibial, popliteal, and radial arteries
  • Segmental affection/bloackage of vessels between normal appearing segments
  • Corkscrew collaterals described as collateralization around occlusion area but are not pathognomonic

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