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Role of Hemodynamic Assessment and Limitations in Ankle-Brachial Pressure Index, Toe- Brachial Pressure Index to

Christos Argyriou1, Miltos K Lazarides2, Efstratios Georgakarakos1

  • 1Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexandroupoli, Greece.

The International Journal of Lower Extremity Wounds
|November 7, 2023
PubMed

Insights

Chronic limb-threatening ischemia (CLTI) management faces challenges with non-invasive hemodynamic parameters. Their role in guiding revascularization for CLTI patients requires further investigation.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Medicine
  • Medical Diagnostics

Background:

  • Chronic limb-threatening ischemia (CLTI) is a severe peripheral arterial disease complication.
  • CLTI significantly impacts patient quality of life and incurs substantial healthcare costs.
  • Assessing CLTI severity and treatment effectiveness using non-invasive hemodynamics is challenging.

Purpose of the Study:

  • To evaluate the validity and role of non-invasive hemodynamic parameters in CLTI management.
  • To determine if existing indices can guide revascularization decisions or require novel adjunctive techniques.

Main Methods:

  • Review of traditional diagnostic methods for CLTI.
  • Analysis of non-invasive hemodynamic measurements, including ankle-brachial pressure index (ABPI) and toe-brachial pressure index (TBPI).
  • Discussion on the limitations of current indices and the potential of novel techniques.

Main Results:

  • Ankle-brachial pressure index (ABPI) and toe-brachial pressure index (TBPI) are standard diagnostic tools for CLTI.
  • The definitive role of these indices alone in guiding treatment remains uncertain.
  • Novel techniques may be necessary to complement existing parameters for optimal CLTI management.

Conclusions:

  • Non-invasive hemodynamic parameters like ABPI and TBPI are crucial for CLTI diagnosis.
  • Further research is needed to clarify the utility of these indices in guiding revascularization strategies.
  • Integrating novel techniques with established parameters may enhance CLTI patient care.

Keywords:
ABI/ABPI < Diagnosisarterial/ischaemic < lower extremity woundvascular < diagnosiswound assessment

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