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Title: Rearfoot Transcutaneous Oximetry is a Useful Tool to Highlight Ischemia of the Heel

Abstract

PurposeTo demonstrate the usefulness of rearfoot transcutaneous oximetry to assess the peripheral arterial disease in diabetic patients with heel ulcer.MethodsFrom our database of 550 critical limb ischemia diabetic patients followed after a percutaneous transluminal angioplasty, we have selected patients with below the knee arterial disease. Patients were grouped according to the dorsal transcutaneous oximetry value (Group A < 30 mmHg; Group B ≥ 30 mmHg). Patients of Group B had a second oximetry performed at the rearfoot, close to the lesion localized in all cases at the heel. Finally, the analysis of the arterial pattern disease has been done.ResultsWe selected 191 patients: Group A (151 patients), dorsal transcutaneous oximetry of 11.8 ± 0.7 mmHg; Group B (40 patients), dorsal transcutaneous oximetry of 44.2 ± 10.1 mmHg. In Group B, rearfoot oximetry was 20.5 ± 5 mmHg, significantly lower than dorsal oximetry (p = 0.0179). The anterior tibial artery was involved in all patients of Group A. In Group B, the anterior tibial artery was involved in 15 subjects and never alone; the posterior tibial artery was involved in 20 subjects and in 11 cases alone. The peroneal artery was affected in 20 subjects and in 14 patients alone.ConclusionWhen a heel lesion is present and the transcutaneous oximetry recorded on the dorsum of the foot does not confirmmore » the presence of critical limb ischemia (not ≤30 mmHg), a second oximetry recorded on the rearfoot is useful to point out ischemia of the peroneal artery and/or of the posterior tibial artery.« less

Authors:
;  [1]; ;  [2];  [1];  [2];  [1];  [2];  [1]
  1. University of Tor Vergata, Department of Systems Medicine (Italy)
  2. University of Tor Vergata, Department of Diagnostic Imaging and Interventional Radiology (Italy)
Publication Date:
OSTI Identifier:
22645369
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 40; Journal Issue: 1; Conference: BSIR 2016: Britisch Society of Interventional Radiology 2016 annual meeting, Manchester (United Kingdom), 15-17 Nov 2016; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BONE JOINTS; FEET; ISCHEMIA; PATIENTS; ULCERS

Citation Formats

Izzo, Valentina, Meloni, Marco, Fabiano, Sebastiano, Morosetti, Daniele, Giurato, Laura, Chiaravalloti, Antonio, Ruotolo, Valeria, Gandini, Roberto, and Uccioli, Luigi. Rearfoot Transcutaneous Oximetry is a Useful Tool to Highlight Ischemia of the Heel. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1434-Y.
Izzo, Valentina, Meloni, Marco, Fabiano, Sebastiano, Morosetti, Daniele, Giurato, Laura, Chiaravalloti, Antonio, Ruotolo, Valeria, Gandini, Roberto, & Uccioli, Luigi. Rearfoot Transcutaneous Oximetry is a Useful Tool to Highlight Ischemia of the Heel. United States. https://doi.org/10.1007/S00270-016-1434-Y
Izzo, Valentina, Meloni, Marco, Fabiano, Sebastiano, Morosetti, Daniele, Giurato, Laura, Chiaravalloti, Antonio, Ruotolo, Valeria, Gandini, Roberto, and Uccioli, Luigi. 2017. "Rearfoot Transcutaneous Oximetry is a Useful Tool to Highlight Ischemia of the Heel". United States. https://doi.org/10.1007/S00270-016-1434-Y.
@article{osti_22645369,
title = {Rearfoot Transcutaneous Oximetry is a Useful Tool to Highlight Ischemia of the Heel},
author = {Izzo, Valentina and Meloni, Marco and Fabiano, Sebastiano and Morosetti, Daniele and Giurato, Laura and Chiaravalloti, Antonio and Ruotolo, Valeria and Gandini, Roberto and Uccioli, Luigi},
abstractNote = {PurposeTo demonstrate the usefulness of rearfoot transcutaneous oximetry to assess the peripheral arterial disease in diabetic patients with heel ulcer.MethodsFrom our database of 550 critical limb ischemia diabetic patients followed after a percutaneous transluminal angioplasty, we have selected patients with below the knee arterial disease. Patients were grouped according to the dorsal transcutaneous oximetry value (Group A < 30 mmHg; Group B ≥ 30 mmHg). Patients of Group B had a second oximetry performed at the rearfoot, close to the lesion localized in all cases at the heel. Finally, the analysis of the arterial pattern disease has been done.ResultsWe selected 191 patients: Group A (151 patients), dorsal transcutaneous oximetry of 11.8 ± 0.7 mmHg; Group B (40 patients), dorsal transcutaneous oximetry of 44.2 ± 10.1 mmHg. In Group B, rearfoot oximetry was 20.5 ± 5 mmHg, significantly lower than dorsal oximetry (p = 0.0179). The anterior tibial artery was involved in all patients of Group A. In Group B, the anterior tibial artery was involved in 15 subjects and never alone; the posterior tibial artery was involved in 20 subjects and in 11 cases alone. The peroneal artery was affected in 20 subjects and in 14 patients alone.ConclusionWhen a heel lesion is present and the transcutaneous oximetry recorded on the dorsum of the foot does not confirm the presence of critical limb ischemia (not ≤30 mmHg), a second oximetry recorded on the rearfoot is useful to point out ischemia of the peroneal artery and/or of the posterior tibial artery.},
doi = {10.1007/S00270-016-1434-Y},
url = {https://www.osti.gov/biblio/22645369}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 1,
volume = 40,
place = {United States},
year = {Sun Jan 15 00:00:00 EST 2017},
month = {Sun Jan 15 00:00:00 EST 2017}
}