قرحة القدم السكرية مع انخفاض مؤشر الكاحل العضدي (ABI <0.5) أو انخفاض ملحوظ في ضغط الكاحل

References

1. In patients with either an ankle pressure <50mm Hg or an ABI <0.5 consider urgent vascular imaging and, when findings suggest it is appropriate, revascularisation.
2. Also consider revascularisation if the toe pressure is <30mmHg or TcpO2 is <25 mmHg.
3. The aim of revascularisation is to restore direct flow to at least one of the foot arteries, preferably the artery that supplies the anatomical region of the wound.
4. After a revascularisation procedure, its effectiveness should be evaluated with an objective measurement of perfusion.