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Thomas Serena
PROBLEM: Peripheral arterial disease (PAD) and critical limb ischemia (CLI) impede lower extremity wound healing. The highest-risk patient populations have foot ulcers, ischemic disease, diabetes mellitus, and/or compromised kidney function. Optimal wound healing protocols require evaluation of both tissue and arterial perfusion. The most widely known test, ankle brachial index (ABI), has general but limited utility in foot ulcer patients. False negatives secondary to medial artery calcification are common and ABI alone is not considered predictive of wound healing...
June 2012: Advances in Wound Care
Yumi Otani, Shigeru Otsubo, Naoki Kimata, Mari Takano, Takayuki Abe, Tomoki Okajima, Naoko Miwa, Ken Tsuchiya, Kosaku Nitta, Takashi Akiba
OBJECTIVE: Clinically, the ankle-brachial blood pressure index (ABI) and skin perfusion pressure (SPP) are used to screen for subclinical peripheral artery disease. However, the association between the SPP and mortality in hemodialysis patients has not been previously reported. We investigated these factors and compared the ABI and SPP in patients receiving hemodialysis. METHODS: A total of 102 patients receiving maintenance hemodialysis were enrolled in this study...
2013: Internal Medicine
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