Related Experiment Video

Updated: Jul 2, 2025

High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
08:16

High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model

Published on: March 16, 2022

3.5K

Associations Between Systolic Pressure, Vascular Waveform, and Volume Flow with Debridement or Amputation Treatment

Patrianef Darwis1, Ahmad Syaifudin1, Raden Suhartono1

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

The International Journal of Lower Extremity Wounds
|February 23, 2024
PubMed

Insights

Diabetic foot ulcer patients with a biphasic popliteal artery ultrasound pattern are more likely to require amputation. This finding aids in predicting treatment needs for diabetic foot care.

Area of Science:

  • Vascular Surgery
  • Diabetology
  • Medical Imaging

Background:

  • Diabetic foot ulcers affect 6.3% globally, posing significant treatment challenges.
  • Decisions on debridement vs. amputation have major cost, morbidity, and mortality implications.
  • Effective vascular assessment is crucial for optimal diabetic foot ulcer management.

Purpose of the Study:

  • To identify effective vascular examination modalities for guiding diabetic foot ulcer treatment.
  • To correlate vascular parameters with debridement or amputation decisions.

Main Methods:

  • Cross-sectional study involving 38 diabetic foot patients.
  • Vascular assessments included systolic blood pressure, waveforms, and blood volume flow.
  • Patients were divided into debridement and amputation groups.

Main Results:

  • A biphasic pattern in popliteal artery ultrasound was significantly associated with amputation (p < 0.05).
  • Biphasic ultrasound patterns predicted amputation, with thrice as many biphasic patients undergoing amputation.
  • Systolic pressure and volume flow in common femoral and popliteal arteries did not correlate with treatment choice.

Conclusions:

  • Popliteal artery vascular waveform assessment via ultrasound is a predictive factor for amputation or debridement.
  • This non-invasive vascular assessment can aid in clinical decision-making for diabetic foot ulcers.
Abstract

Keywords:
amputationpopliteal arterysystolic pressurevolume flow

More Related Videos

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

3.4K
Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

11.5K

Related Concept Videos

Assessing Blood pressure using a doppler ultrasound01:19

Assessing Blood pressure using a doppler ultrasound

To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.3K
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
565
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
340
Assessing Blood pressure in the Leg01:11

Assessing Blood pressure in the Leg

Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
2.5K
Sites for measruring blood pressure01:21

Sites for measruring blood pressure

Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.7K
Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment of blood pressure in brachial artery(two-step method)

Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
708