Lower extremity peripheral artery disease: a basic approach

Chan, Keith Andrew; Junia, Alex

doi:10.12968/hmed.2019.0263

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…As per the definition, both DM foot and lower extremity arterial occlusion are related to ischemia. When a diabetic person has lower extremity arterial bleeding, whether it should be diagnosed as diabetic foot or lower extremity arteriosclerosis occlusion is a common problem that currently plagues clinicians [ 16 ]. If diagnosed as DM foot, it will enlarge the influence of DM foot and reduce the detection rate of arteriosclerosis occlusion; if diagnosed as lower extremity arteriosclerosis occlusion, it will reduce the detection rate of DM foot combined with lower extremity arteriosclerosis occlusion [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Intelligent Algorithm-Based Analysis on Ultrasound Image Characteristics of Patients with Lower Extremity Arteriosclerosis Occlusion and Its Correlation with Diabetic Mellitus Foot

Shen²,

Sun³

2021

Journal of Healthcare Engineering

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Objective. The study focused on the correlation between lower extremity arteriosclerosis and diabetic mellitus (DM) foot, and it was explored by virtue of ultrasound images processed by an intelligent algorithm. Methods. A total of 60 DM foot patients admitted to our hospital in the past three years were selected and divided into two groups according to their condition. Patients with DM foot alone were in group B (30 cases), and patients with DM foot combined with lower extremity arteriosclerosis occlusion were in group C (30 cases). 30 healthy people were in group A as a control. Color Doppler ultrasound was used to examine the arteries of the lower extremities of all subjects. It the intramedia thickness (IMT) from the femoral artery to the dorsal foot artery was recorded, whether there was plaque in the artery or knowing the size of the plaque, its echo, and distribution, and whether the artery had stenosis. Next, the stenosis percentage was calculated. Additionally, the general information of patients was analyzed. At the same time, an intelligent algorithm was used to process ultrasound images, and its effects on image quality were evaluated. Results. Doppler ultrasound images processed by Artificial Bee Colony (ABC) had less noise and better quality, and key information about the lesion was clearly displayed. There was no statistical difference between the general data of the three groups of patients; group B and group C had higher IMT value, plaque incidence, arterial stenosis incidence, and degree of stenosis versus group A, and there were statistically significant differences between groups B and C. In particular, the incidence of femoral artery stenosis and the degree of stenosis were significantly higher in group C than in group B. The rate of stenosis above grade I in group C was as high as 71%, while that in group B was only 19%; in Group C, the incidence of stenosis above grade II was 30%, and that in group B was 13.1%. Compared with group A, group B and group C had decreased peak arterial blood velocity (PSV), resistance index (RI), and pulse index (PI), and there were statistically significant differences between groups B and C. Conclusion. DM foot is a risk factor for arteriosclerosis occlusion; color Doppler ultrasound demonstrates good diagnostic effects on arteriosclerosis occlusion; the algorithm proposed in this study can improve the quality of Doppler ultrasound images and has a high application value.

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Section: Discussionmentioning

confidence: 99%

Intelligent Algorithm-Based Analysis on Ultrasound Image Characteristics of Patients with Lower Extremity Arteriosclerosis Occlusion and Its Correlation with Diabetic Mellitus Foot

Shen²,

Sun³

2021

Journal of Healthcare Engineering

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“…Choroba tętnic obwodowych kończyn dolnych jest przewlekłą i postępującą chorobą będącą czynnikiem zwiększonej śmiertelności. Wczesne rozpoznanie i zastosowanie leczenia oraz zmiana stylu życia pozwalają na zmniejszenie wystąpienia powikłań choroby [8].…”

Section: Dyskusjaunclassified

Health behaviours and selected risk factors of patients with chronic lower limb ischaemia

Ścisło,

Pluta,

Staszkiewicz

et al. 2024

pcia

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“…The symptoms and signs of PAD are variable and range from the classic symptom of claudication to other nonjoint-related limb symptoms (atypical leg symptoms) or are absent [7][8][9][10]. In these cases, the DU may be the first sign that leads to the diagnosis.…”

Section: Pressure Dumentioning

confidence: 99%

Digital Ulcers: Multidisciplinary Approach and Dermatological Management

Starace¹,

Orioni²,

Alessandrini³

et al. 2023

Dermatol Pract Concept

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Introduction: Digital ulcers represent a current public health issue, due to the relevant difficulties in their management and their tendency to become chronic, non-healing lesions. We present an observational study of 28 patients referred to our Wound Care Service, focused on multidisciplinary and dermatological management. Objectives: Our case series represents an opportunity to discuss the main comorbidities that affect these kinds of patients and to present an evidence-based protocol that has proved highly effective in our clinical practice. Methods: We collected the clinical data of 28 patients referred to our Wound Care Service at S.Orsola-Malpighi Hospital, where they were all clinically evaluated; subsequently a local treatment was set up with dressings and the application of topical medications, while for most of them a further multidisciplinary evaluation was required to control the underlying disease and to avoid relapses. Results: Digital ulcers were divided into 5 categories, based on the causative agent: peripheral artery disease, diabetes associated wounds, mixed wounds, pressure wounds and immune-mediated diseases associated with wounds. Each group received a specific management, based on the characteristics of the ulcer and the underlying comorbidities. Conclusions: The clinical evaluation of digital wounds requires a thorough knowledge of the possible causes behind the onset of these ulcerative forms. In case of suspicion, send the patient for a specialist evaluation, to carry out a proper management of the case. A multidisciplinary approach in the management of these wounds is necessary to achieve a precise diagnosis and a correct treatment.

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Lower extremity peripheral artery disease: a basic approach

Cited by 5 publications

References 20 publications

Intelligent Algorithm-Based Analysis on Ultrasound Image Characteristics of Patients with Lower Extremity Arteriosclerosis Occlusion and Its Correlation with Diabetic Mellitus Foot

Intelligent Algorithm-Based Analysis on Ultrasound Image Characteristics of Patients with Lower Extremity Arteriosclerosis Occlusion and Its Correlation with Diabetic Mellitus Foot

Health behaviours and selected risk factors of patients with chronic lower limb ischaemia

Digital Ulcers: Multidisciplinary Approach and Dermatological Management

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