transcutaneous pressure of oxygen known as TCPO2: more precise
Toe brachial index in diabetic patients is better than ABI and can be measured by plethysmography
Dopler ultrasound of is very helpfulin assessment of peripheral arteries both the images of plaques and the waveform .
You can use also so-called "pole-test". Place the pulse-oximetr to the toe with registering of pulse wave. After that elevate the leg slowly until disappearance of the waves. Measure the distance. Pressure in mm hg col = 10 x cm / 13.
I would like to know, is there any manual method for assessment of Peripheral vascular diseases ?
The easiest way to assess peripheral vascular disease is to palpate the peripheral pulses, assess the skin temperature, identify ulcerations or trophic lesions (after taking exact history from the patient: claudication, pain).
For thechnical assessmant there is the possibility to measure vascular stiffness by a small apparatus that is calles Ange in Austria http://www.sonotechnik.at/ange-pro-8
It uses segmental oscillography and measures pulse wave velocities
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