Perfusion Assessment and Treatment in the Diabetic Patient

Michael Cyrus Siah, Steven Abramowitz

Research output: Contribution to journalReview article

Abstract

The accurate assessment of peripheral perfusion is a critical step in caring for a diabetic patient with active ulceration. This article guides the provider through diagnostic and therapeutic options. The perfusion assessment begins with a physical examination and augmented using noninvasive tests. Although some of these tests can be performed at the bedside, often a dedicated vascular laboratory is required. Additional cross-sectional imaging studies or formal angiography should be performed as well. These tools aid in the creation of the best therapeutic plan, which aims to restore perfusion and allow for rapid wound healing via open or endovascular means.

Original languageEnglish (US)
Pages (from-to)361-370
Number of pages10
JournalClinics in Podiatric Medicine and Surgery
Volume36
Issue number3
DOIs
StatePublished - Jul 2019
Externally publishedYes

Keywords

  • Angiography
  • Endovascular
  • Noninvasive vascular studies
  • Perfusion
  • Surgical bypass

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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