Diabetic foot echocardiography or ultrasound
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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.