naa a22 4500 510747884 CHVBK 20180411083053.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11547-013-0930-2 doi (NATIONALLICENCE)springer-10.1007/s11547-013-0930-2 A solution to ankle-brachial index limitations in peripheral transluminal angioplasty [Elektronische Daten] [Manuel Pardo, Miguel Alcaraz, Fernando Bernal, Jose Felices, Gyingriri Achel, Francisco Breijo-Marquez, Manuel Canteras] Una soluzione alle limitazioni dell'indice caviglia-brachiale in angioplastica transluminale periferica Purpose: We evaluated the limitations of the ankle-brachial index (ABI) in the revascularisation of diabetic patients with critical limb ischaemia (CLI) who were undergoing peripheral transluminal angioplasty (PTA) compared with the degree of arterial stenosis and with transcutaneous oxygen tension (TcpO2). Materials and methods: This prospective study assessed 250 consecutive diabetic patients in whom we evaluated results of posterior tibial and dorsalis pedis Doppler, ABI, TcpO2, and duplex scans. In total, 104 patients were considered suitable candidates for PTA. Results: In 42% of the patients studied, ABI could either not be used (9.34% due to no signal; 14.02% because the artery could not be compressed) or was incorrect (18.7% before PTA; 15.9% after PTA). In contrast, TcpO2 was determined in all cases. After PTA, vessel stenosis decreased from 58.33±20.07% to 21.87±13.57% (p<0.001), whereas ABI increased from 0.79±0.57 to 0.95±0.47 (p<0.001) and TcpO2 from 27.37±10.40 mmHg to 38.23±10.25 mmHg (p<0.001). A statistical analysis revealed scant correlation between techniques (TcpO2 and ABI) (r=0.14). Conclusions: ABI shows significant limitations for the diagnosing and treating CLI patients compared with TcpO2. Springer-Verlag, 2013 Peripheral transluminal angioplasty nationallicence Peripheral arterial occlusive disease nationallicence Transcutaneous oxygen pressure nationallicence Revascularization nationallicence Reperfusion nationallicence Angioplastica translumninale periferica nationallicence Malattia occlusiva eriferica arteriosa nationallicence Tensione transcutanea di ossigeno nationallicence Rivascolarizzazione nationallicence Riperfusione nationallicence Pardo Manuel Departments of Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo (Murcia), Spain aut Alcaraz Miguel Departments of Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo (Murcia), Spain aut Bernal Fernando Nursing, Faculty of Medicine/Dentistry, University of Murcia, Murcia, Spain aut Felices Jose Departments of Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo (Murcia), Spain aut Achel Gyingriri Applied Radiation Biology Centre, Radiological and Medical Sciences Research Institute, Ghana Atomic Energy Commission, Legon-Accra, Ghana aut Breijo-Marquez Francisco Departments of Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo (Murcia), Spain aut Canteras Manuel Biostatistics, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo, Murcia, Spain aut La radiologia medica Springer-Verlag 118/8(2013-12-01), 1373-1378 0033-8362 118:8<1373 2013 118 11547 https://doi.org/10.1007/s11547-013-0930-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-013-0930-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pardo Manuel Departments of Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo (Murcia), Spain aut NATIONALLICENCE 700 1- Alcaraz Miguel Departments of Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo (Murcia), Spain aut NATIONALLICENCE 700 1- Bernal Fernando Nursing, Faculty of Medicine/Dentistry, University of Murcia, Murcia, Spain aut NATIONALLICENCE 700 1- Felices Jose Departments of Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo (Murcia), Spain aut NATIONALLICENCE 700 1- Achel Gyingriri Applied Radiation Biology Centre, Radiological and Medical Sciences Research Institute, Ghana Atomic Energy Commission, Legon-Accra, Ghana aut NATIONALLICENCE 700 1- Breijo-Marquez Francisco Departments of Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo (Murcia), Spain aut NATIONALLICENCE 700 1- Canteras Manuel Biostatistics, Faculty of Medicine/Dentistry, University of Murcia, 30100, Espinardo, Murcia, Spain aut NATIONALLICENCE 773 0- La radiologia medica Springer-Verlag 118/8(2013-12-01), 1373-1378 0033-8362 118:8<1373 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer