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Diagnosis of Peripheral Artery Disease in the Diabetic Patient

  • Sarah E. Deery
  • Raul J. Guzman
Chapter
Part of the Contemporary Diabetes book series (CDI)

Abstract

Peripheral artery disease (PAD) affects over 200 million patients globally. Patients with diabetes have a twofold higher risk of developing PAD, and with this comes a higher rate of foot ulceration and amputation. The prompt diagnosis and treatment of PAD in diabetic foot ulcer patients is of paramount importance to wound healing and limb preservation. This chapter will outline key features of the initial evaluation for PAD in patients with diabetes. It will also describe the various noninvasive diagnostic modalities available for use, along with their advantages and disadvantages.

Keywords

Peripheral arterial disease Diabetic limb salvage Foot ulceration Noninvasive arterial testing Doppler segmental pressures Toe pressures Doppler waveform analysis Pulsed volume recordings Duplex ultrasound Transcutaneous oxygen tension Laser Doppler perfusion 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryMassachusetts General HospitalBostonUSA
  2. 2.Division of Vascular and Endovascular SurgeryBeth Israel Deaconess Medical Center, Joslin Diabetes Center, Harvard Medical SchoolBostonUSA

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