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논문 기본 정보

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학술저널
저자정보
Park, Seong-Chul (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine) Choi, Chang-Yong (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine) Ha, Young-In (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine) Yang, Hyung-Eun (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제39권 제3호
발행연도
2012.1
수록면
227 - 231 (5page)

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Background : The ankle brachial pressure index (ABI) is a simple, useful method for diagnosing peripheral artery disease (PAD). Although the ABI is an objective diagnostic method, it has limited reliability in certain scenarios. The aim of the present study was to determine the accuracy and reliability of the toe brachial index (TBI) as a diagnostic tool for detecting stenosis in PAD, associated with normal or low ABI values. Methods : ABI and TBI values were measured in 15 patients with diabetic gangrene who were suspected of having lower extremity arterial insufficiency. The ABI and TBI values were measured using a device that allowed the simultaneous measurement of systolic blood pressure in the upper and lower extremities. In addition, the ABI and TBI values were compared pre- and post-angiography. Results : Patients with an ABI of 0.9-1.3 showed almost no difference between the 2 measurements. The patients with TBI >0.6 had no arterial insufficiency. The patients with TBI <0.6 required vascular intervention with ballooning. After the angiography, the gangrenous wounds decreased in size more rapidly than they did prior to the intervention. Conclusions : Our findings suggest that TBI is the method of choice for evaluating lower limb perfusion disorders. This result requires further studies of TBI in a larger number of patients. Future long-term studies should therefore evaluate the utility of TBI as a means of screening for PAD and the present findings should be regarded as preliminary outcomes.
#Toe brachial index #Ankle brachial index #Peripheral arterial disease

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참고문헌 (5)

참고문헌 신청
Harrison ML / 2011 / Preliminary assessment of an automatic screening device for peripheral arterial disease using ankle-brachial and toe-brachial indices / Blood Press Monit 16:38~41 google schola Suominen V / 2008 / Prevalence and risk factors of PAD among patients with elevated ABI / Eur J Vasc Endovasc Surg 35:709~714 google schola Diehm C / 2004 / High prevalence of peripheral arterial disease and co-morbidity in 6880 primary care patients: cross-sectional study / Atherosclerosis 172:95~105 google schola Hirsch AT / 2001 / Peripheral arterial disease detection, awareness, and treatment in primary care / JAMA 286:1317~1324 google schola Martin Borge V / 2008 / Peripheral arterial disease in diabetic patients: utility of the toe-brachial index / Med Clin 130:611~612 google schola

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