Document Detail


Noninvasive assessment of lower extremity hemodynamics in individuals with diabetes mellitus.
MedLine Citation:
PMID:  20804937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The timely and accurate noninvasive assessment of peripheral arterial disease (PAD) is a critical component of a limb preservation initiative in patients with diabetes mellitus. Noninvasive vascular studies (NIVS) can be useful in screening patients with diabetes for PAD. In patients with clinical signs or symptoms, NIVS provide crucial information on the presence, location, and severity of PAD, as well as an objective assessment of the potential for primary healing of an index wound or a surgical incision. Appropriately-selected NIVS are important in the decision-making process to determine whether and what type of intervention might be most appropriate, given the clinical circumstances. Hemodynamic monitoring is likewise very important following either an endovascular procedure or a surgical bypass. Surveillance studies, usually with a combination of physiologic testing and imaging with duplex ultrasound, accurately identify recurrent disease prior to the occurrence of thrombosis, allowing targeted reintervention. NIVS can be broadly grouped into three general categories: physiologic or hemodynamic measurements; anatomic imaging; and measurements of tissue perfusion. These types of tests and suggestions for their appropriate application in patients with diabetes are reviewed.
Authors:
Charles A Andersen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  52     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-31     Completed Date:  2010-09-27     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  76S-80S     Citation Subset:  IM    
Copyright Information:
Published by Mosby, Inc.
Affiliation:
Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA. charles.andersen@us.army.mil
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MeSH Terms
Descriptor/Qualifier:
Ankle Brachial Index
Blood Gas Monitoring, Transcutaneous
Diabetic Angiopathies / diagnosis*,  physiopathology
Hemodynamics*
Humans
Laser-Doppler Flowmetry
Lower Extremity / blood supply*
Mass Screening* / methods
Peripheral Vascular Diseases / diagnosis*,  physiopathology
Predictive Value of Tests
Prognosis
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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