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Toe Blood Pressure To Identify Arterial Disease

Discussion in 'Diabetic Foot & Wound Management' started by admin, Nov 20, 2004.

  1. admin

    admin Administrator Staff Member


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    From: Angiology. 55(6):641-651 2004
     
  2. Byron Perrin

    Byron Perrin Member

    As a podiatrist in Australia the non-invasive objective measurement of arterial supply both interests and frustrates me!

    I've recently been using PPG to look at toe pressures. Although the interpretation of the digital artery waveform (there are no audible sounds) seems a little subjective I am now often finding low pressures in toes where an ABI/ankle systolic pressure may indicate a reasonable arterial supply. This appears to confirm my own (short) experience of doing ABI's on people with diabetes.

    The concept of artery calcification in people with diabetes in not new but the general literature still seems to talk about the ABI as a reliable, easy to use tool. Toe pressures require more expensive equipment but is encouraging people to do ABI's on people with diabetes the right way to go? It seems to me that ABI's may be misleading when giving a prognosis on a wound, or trying to determine the risk a person is of having future problems.
     
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