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Results: invasively treated patients showed a significant improvement in maximum walking power, stopping distance, post-ischaemic blood flow and big toe pressure at one year.
Critical limb ischemia (CLI) has been defined as rest pain or tissue loss in patients who have an ankle-brachial index (ABI) ≤0.50, ankle pressure (AP) <70 mm Hg, or toe pressure (TP) <50 mm Hg.
Thus, ankle and toe pressure parameters were not considered in the data analysis.
Evaluation of skin temperature and toe pressure was continued until 2 years after inclusion.
A Hokanson CE-4 strain gauge and photoplethysmograph was used to obtain toe pressure.
The TBI was calculated for each leg by dividing the toe pressure by the highest brachial pressure.
Similar(41)
Toe pressures can then be used because the vessels supplying the toes do not have calcium deposits.
Toe pressures greater than 50 mm Hg are normal; whereas values of less than 30 are grossly abnormal.
Great toe pressures were obtained with a toe cuff and photoplethysmography (Summit Doppler Vista AVS 2007) to detect the systolic pressure at which blood flow returned.
No data supporting the statement that arterial toe blood pressure did not predict outcomes were provided, and transcutaneous oxymetry would have been a better means of determining adequacy of wound perfusion and oxygenation than toe pressures (16).
One can argue that PAD can be defined in a more strict way, but neither ankle or toe pressures provide unequivocal diagnosis of PAD in type 2 diabetes.
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