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What is a definitive test for PAD? Is an angiogram on the legs 100% accurate?

I have symptoms of PAD . Pain after walking 10-20 meters, relieved by rest, worse when walking uphill. Pain is in the femoral area /groin. Cold and numb legs, weak, sometimes absent femoral pulse, purple toes. I have had CTA, MRI and doppler tests. All come back normal. Could it be the tests have missed the problem? Would an angiogram of the legs be 100 % accurate? I also have microvascular angina.
36 yr old, Female
36 yr old, Female
asked Jul 26, 2010 at 11:32AM in Other
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    answered Jul 26, 2010 at 11:42PM
    There insn't a definitive test for PDA. All tests could help for a diagnosis. Angiography could localize the stenoses or occlusion, but it isn't a sostitutive test for non invasive testing (CTA,MR, and ABI a test that compares the blood pressure in your feet to the blood pressure in your arm to determine how well your blood is flowing), because it can't give information about the functional significance of abnormal findings.
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