Diabetic foot echocardiography or ultrasound: Difference between revisions
Jump to navigation
Jump to search
| Line 7: | Line 7: | ||
==Ultrasound== | ==Ultrasound== | ||
*Findings such as absent or monophasic flow velocity in [[medical ultrasonography|doppler ultrasound]] are indicative of either an occlusion or a collateral flow.<ref name="LepäntaloApelqvist2011">{{cite journal|last1=Lepäntalo|first1=M.|last2=Apelqvist|first2=J.|last3=Setacci|first3=C.|last4=Ricco|first4=J.-B.|last5=de Donato|first5=G.|last6=Becker|first6=F.|last7=Robert-Ebadi|first7=H.|last8=Cao|first8=P.|last9=Eckstein|first9=H.H.|last10=De Rango|first10=P.|last11=Diehm|first11=N.|last12=Schmidli|first12=J.|last13=Teraa|first13=M.|last14=Moll|first14=F.L.|last15=Dick|first15=F.|last16=Davies|first16=A.H.|title=Chapter V: Diabetic Foot|journal=European Journal of Vascular and Endovascular Surgery|volume=42|year=2011|pages=S60–S74|issn=10785884|doi=10.1016/S1078-5884(11)60012-9}}</ref> | *Findings such as absent or monophasic flow velocity in [[medical ultrasonography|doppler ultrasound]] are indicative of either an occlusion or a collateral flow.<ref name="LepäntaloApelqvist2011">{{cite journal|last1=Lepäntalo|first1=M.|last2=Apelqvist|first2=J.|last3=Setacci|first3=C.|last4=Ricco|first4=J.-B.|last5=de Donato|first5=G.|last6=Becker|first6=F.|last7=Robert-Ebadi|first7=H.|last8=Cao|first8=P.|last9=Eckstein|first9=H.H.|last10=De Rango|first10=P.|last11=Diehm|first11=N.|last12=Schmidli|first12=J.|last13=Teraa|first13=M.|last14=Moll|first14=F.L.|last15=Dick|first15=F.|last16=Davies|first16=A.H.|title=Chapter V: Diabetic Foot|journal=European Journal of Vascular and Endovascular Surgery|volume=42|year=2011|pages=S60–S74|issn=10785884|doi=10.1016/S1078-5884(11)60012-9}}</ref> | ||
*For a complete evaluation of [[Limb (anatomy)|lower limb]] [[perfusion]] all of the [[Iliac artery|iliac]], [[Femoral artery|femoral]], [[Popliteal artery|popliteal]] and [[Anterior tibial artery|tibial arteries]] should be scanned by [[medical ultrasonography|doppler ultrasound]].<ref name="SchaperAndros2012">{{cite journal|last1=Schaper|first1=N. C.|last2=Andros|first2=G.|last3=Apelqvist|first3=J.|last4=Bakker|first4=K.|last5=Lammer|first5=J.|last6=Lepantalo|first6=M.|last7=Mills|first7=J. L.|last8=Reekers|first8=J.|last9=Shearman|first9=C. P.|last10=Zierler|first10=R. E.|last11=Hinchliffe|first11=R. J.|title=Diagnosis and treatment of peripheral arterial disease in diabetic patients with a foot ulcer. A progress report of the International Working Group on the Diabetic Foot|journal=Diabetes/Metabolism Research and Reviews|volume=28|year=2012|pages=218–224|issn=15207552|doi=10.1002/dmrr.2255}}</ref> | *For a complete evaluation of [[Limb (anatomy)|lower limb]] [[perfusion]] all of the [[Iliac artery|iliac]], [[Femoral artery|femoral]], [[Popliteal artery|popliteal]] and [[Anterior tibial artery|tibial arteries]] should be scanned by colorful [[medical ultrasonography|doppler ultrasound]].<ref name="SchaperAndros2012">{{cite journal|last1=Schaper|first1=N. C.|last2=Andros|first2=G.|last3=Apelqvist|first3=J.|last4=Bakker|first4=K.|last5=Lammer|first5=J.|last6=Lepantalo|first6=M.|last7=Mills|first7=J. L.|last8=Reekers|first8=J.|last9=Shearman|first9=C. P.|last10=Zierler|first10=R. E.|last11=Hinchliffe|first11=R. J.|title=Diagnosis and treatment of peripheral arterial disease in diabetic patients with a foot ulcer. A progress report of the International Working Group on the Diabetic Foot|journal=Diabetes/Metabolism Research and Reviews|volume=28|year=2012|pages=218–224|issn=15207552|doi=10.1002/dmrr.2255}}</ref> | ||
*Colorful [[medical ultrasonography|doppler ultrasound]] has 89% and 68% [[Sensitivity (tests)|sensitivity]] for [[iliac artery]] and [[popliteal artery]], respectfully. Nevertheless it's [[Sensitivity (tests)|sensitivity]] is higher for [[Anterior tibial artery|anterior]] and [[Anterior tibial artery|posterior tibial arteries]] (90%). <ref name="pmid12766127">{{cite journal| author=Sheehan P, Jones P, Caselli A, Giurini JM, Veves A| title=Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial. | journal=Diabetes Care | year= 2003 | volume= 26 | issue= 6 | pages= 1879-82 | pmid=12766127 | doi=10.2337/diacare.26.6.1879 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12766127 }} </ref><ref name="SchaperAndros2012">{{cite journal|last1=Schaper|first1=N. C.|last2=Andros|first2=G.|last3=Apelqvist|first3=J.|last4=Bakker|first4=K.|last5=Lammer|first5=J.|last6=Lepantalo|first6=M.|last7=Mills|first7=J. L.|last8=Reekers|first8=J.|last9=Shearman|first9=C. P.|last10=Zierler|first10=R. E.|last11=Hinchliffe|first11=R. J.|title=Diagnosis and treatment of peripheral arterial disease in diabetic patients with a foot ulcer. A progress report of the International Working Group on the Diabetic Foot|journal=Diabetes/Metabolism Research and Reviews|volume=28|year=2012|pages=218–224|issn=15207552|doi=10.1002/dmrr.2255}}</ref> | |||
*[[medical ultrasonography|Doppler ultrasound]] is not accurate when there is considerable [[calcification]] of the infrapopliteal [[Artery|arteries]].<ref name="CatalanoFraioli2004">{{cite journal|last1=Catalano|first1=Carlo|last2=Fraioli|first2=Francesco|last3=Laghi|first3=Andrea|last4=Napoli|first4=Alessandro|last5=Bezzi|first5=Mario|last6=Pediconi|first6=Federica|last7=Danti|first7=Massimiliano|last8=Nofroni|first8=Italo|last9=Passariello|first9=Roberto|title=Infrarenal Aortic and Lower-Extremity Arterial Disease: Diagnostic Performance of Multi–Detector Row CT Angiography|journal=Radiology|volume=231|issue=2|year=2004|pages=555–563|issn=0033-8419|doi=10.1148/radiol.2312020920}}</ref> | *[[medical ultrasonography|Doppler ultrasound]] is not accurate when there is considerable [[calcification]] of the infrapopliteal [[Artery|arteries]].<ref name="CatalanoFraioli2004">{{cite journal|last1=Catalano|first1=Carlo|last2=Fraioli|first2=Francesco|last3=Laghi|first3=Andrea|last4=Napoli|first4=Alessandro|last5=Bezzi|first5=Mario|last6=Pediconi|first6=Federica|last7=Danti|first7=Massimiliano|last8=Nofroni|first8=Italo|last9=Passariello|first9=Roberto|title=Infrarenal Aortic and Lower-Extremity Arterial Disease: Diagnostic Performance of Multi–Detector Row CT Angiography|journal=Radiology|volume=231|issue=2|year=2004|pages=555–563|issn=0033-8419|doi=10.1148/radiol.2312020920}}</ref> | ||
Revision as of 14:38, 9 July 2021
|
Diabetic foot Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Diabetic foot echocardiography or ultrasound On the Web |
|
American Roentgen Ray Society Images of Diabetic foot echocardiography or ultrasound |
|
Risk calculators and risk factors for Diabetic foot echocardiography or ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Ultrasound
- Findings such as absent or monophasic flow velocity in doppler ultrasound are indicative of either an occlusion or a collateral flow.[1]
- For a complete evaluation of lower limb perfusion all of the iliac, femoral, popliteal and tibial arteries should be scanned by colorful doppler ultrasound.[2]
- Colorful doppler ultrasound has 89% and 68% sensitivity for iliac artery and popliteal artery, respectfully. Nevertheless it's sensitivity is higher for anterior and posterior tibial arteries (90%). [3][2]
- Doppler ultrasound is not accurate when there is considerable calcification of the infrapopliteal arteries.[4]
References
- ↑ Lepäntalo, M.; Apelqvist, J.; Setacci, C.; Ricco, J.-B.; de Donato, G.; Becker, F.; Robert-Ebadi, H.; Cao, P.; Eckstein, H.H.; De Rango, P.; Diehm, N.; Schmidli, J.; Teraa, M.; Moll, F.L.; Dick, F.; Davies, A.H. (2011). "Chapter V: Diabetic Foot". European Journal of Vascular and Endovascular Surgery. 42: S60–S74. doi:10.1016/S1078-5884(11)60012-9. ISSN 1078-5884.
- ↑ 2.0 2.1 Schaper, N. C.; Andros, G.; Apelqvist, J.; Bakker, K.; Lammer, J.; Lepantalo, M.; Mills, J. L.; Reekers, J.; Shearman, C. P.; Zierler, R. E.; Hinchliffe, R. J. (2012). "Diagnosis and treatment of peripheral arterial disease in diabetic patients with a foot ulcer. A progress report of the International Working Group on the Diabetic Foot". Diabetes/Metabolism Research and Reviews. 28: 218–224. doi:10.1002/dmrr.2255. ISSN 1520-7552.
- ↑ Sheehan P, Jones P, Caselli A, Giurini JM, Veves A (2003). "Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial". Diabetes Care. 26 (6): 1879–82. doi:10.2337/diacare.26.6.1879. PMID 12766127.
- ↑ Catalano, Carlo; Fraioli, Francesco; Laghi, Andrea; Napoli, Alessandro; Bezzi, Mario; Pediconi, Federica; Danti, Massimiliano; Nofroni, Italo; Passariello, Roberto (2004). "Infrarenal Aortic and Lower-Extremity Arterial Disease: Diagnostic Performance of Multi–Detector Row CT Angiography". Radiology. 231 (2): 555–563. doi:10.1148/radiol.2312020920. ISSN 0033-8419.