Successful virtual pedal acceleration time (PAT) training in the COVID-19 pandemic era

Khashram, Manar; Sommerset, Jill; August, Bridget; Abbott, Grant; Hart, Odette; Teso, Desarom

doi:10.1016/j.avsurg.2022.100106

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…This included age, sex, presence of diabetes mellitus and ESRF. PAT has been used in the standard workup of CLTI patients in the Waikato Vascular Unit since 2019, after several validation and online training sessions 7 . CLTI was defined as a ‘clinical syndrome defined by the presence of peripheral artery disease (PAD) in combination with rest pain, gangrene, or a lower limb ulceration >2 weeks duration’ 1…”

Section: Methodsmentioning

confidence: 99%

A substantial number of patients with rest pain, ulceration or gangrene are unable to undergo current non‐invasive perfusion testing—Could another modality be utilised?

Hart,

Hong,

Lee

et al. 2023

Wound Repair Regeneration

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Rest pain, ulceration and gangrene are hallmark features of chronic limb‐threatening ischaemia (CLTI). Wound healing can be challenging, and this is compounded by an inability to measure lower limb perfusion via non‐invasive tools such as toe pressure (TP). Novel perfusion tests, such as pedal acceleration time (PAT), may overcome some limitations. This study aimed to quantify the proportion of patients with CLTI that were unable to undergo TP measurement. Over a three‐year duration, 344 consecutive patients with CLTI underwent PAT assessment (403 limbs). Overall, 32% of limbs were unable to undergo first toe TP, and 12.9% were unable to undergo first and second toe TP due to forefoot/digit amputation or tissue loss. Inability to measure first toe TP disproportionately impacted CLTI patients with diabetes compared to patients without diabetes (39.6% limbs (106/268); vs. 17% limbs (23/135); p < 0.001). Novel modalities may provide a useful tool for assessing perfusion in CLTI.

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Section: Methodsmentioning

confidence: 99%

A substantial number of patients with rest pain, ulceration or gangrene are unable to undergo current non‐invasive perfusion testing—Could another modality be utilised?

Hart,

Hong,

Lee

et al. 2023

Wound Repair Regeneration

Self Cite

View full text Add to dashboard Cite

show abstract

“…His presenting WIfI (wound, ischemia, foot infection) clinical stage score was 4 (wound, 3; ischemia, 3; foot infection, 3). Diagnostic catheter angiography demonstrated patent iliofemoral-popliteal inflow with chronically thrombosed tibial runoff and reconstitution into a patent dorsalis pedis (DP) with a diameter of 1.3 mm on ultrasound and a pedal acceleration time >300 ms. 6 , 7 …”

Section: Case Reportmentioning

confidence: 99%

Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass

Taylor

Gormley

Mani

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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Successful virtual pedal acceleration time (PAT) training in the COVID-19 pandemic era

Cited by 2 publications

References 5 publications

A substantial number of patients with rest pain, ulceration or gangrene are unable to undergo current non‐invasive perfusion testing—Could another modality be utilised?

A substantial number of patients with rest pain, ulceration or gangrene are unable to undergo current non‐invasive perfusion testing—Could another modality be utilised?

Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass

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