Detailed protocol of ischemia and the use of noninvasive vascular laboratory testing in diabetic foot ulcers.
Diabetic foot ulcers are frequently complicated by the presence of arterial occlusive disease (PAD). It is often difficult to assess the severity of ischemia by history and physical examination alone; a combination of different types of noninvasive laboratory testing may be necessary. Pulse-volume recordings and segmental pressures should be routinely obtained. If questions persist, an anatomic study is warranted. Duplex ultrasonography can provide accurate information with little risk to the patient and so should be readily obtained.
Teodorescu
Victoria J
VJ
Department of Surgery, Mount Sinai School of Medicine, 5 East 98th Street, Box 1259, New York, New York 10029, USA. victoria.teodorescu@mssm.edu
Chen
Christopher
C
Morrissey
Nicholas
N
Faries
Peter L
PL
Marin
Michael L
ML
Hollier
Larry H
LH
D017719:Diabetic Foot / Q000209:etiology*; D003935:Diagnostic Techniques, Cardiovascular; D005528:Foot / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000175:diagnosis*; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000175:diagnosis*