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

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%). For a complete evaluation of lower limb perfusion all of the iliac, femoral, popliteal and tibial arteries should be scanned by colorful doppler ultrasound. Doppler ultrasound is not accurate when there is considerable calcification.

Ultrasound

For a complete evaluation of lower limb perfusion all of the iliac, femoral, popliteal and tibial arteries should be scanned by colorful doppler ultrasound.^[1]
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%). ^[2]^[1]
Findings such as absent or monophasic flow velocity in doppler ultrasound are indicative of either an occlusion or a collateral flow.^[3]
Doppler ultrasound is not accurate when there is considerable calcification of the infrapopliteal arteries.^[4]

References

↑ ^1.0 ^1.1 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.
↑ 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.
↑ 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.

[SchaperAndros2012-1] 1.0 ^1.1 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.

[pmid12766127-2] 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.

[LepäntaloApelqvist2011-3] 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.

[CatalanoFraioli2004-4] 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.

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