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Journal of the Korean Wound Management Society 2013;9(1): 5-10. |
| 하지 혈관 조영술을 시행한 환자에서 발목 상완 지수(Ankle-Brachial Index)와 발가락 상완 지수(Toe-Brachial Index)의 말초 동맥 질환의 진단적 유용성에 대한 비교 연구 |
| 권준성1ㆍ최창용1ㆍ위서영1ㆍ남승민2ㆍ강상규3 |
| 1순천향대학교 의과대학 구미병원 성형외과학교실, 2순천향대학교 의과대학 부천병원 성형외과학교실, 3순천향대학교 의과대학 서울병원 성형외과학교실 |
| Comparative Study of Ankle-Brachial Index (ABI) and Toe-Brachial Index (TBI) for Detecting Peripheral Arterial Disease in the Patients Underwent Lower Extremity Angiography |
| Joon Sung Kwon1, Chang Yong Choi1, Syeo Young Wee1, Seoung Min Nam2, Sang Gue Kang3 |
| Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, 1Soonchunhyang University Gumi Hospital, Gumi, 2Soonchunhyang University Bucheon Hospital, Bucheon, 3Soonchunhyang University |
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Published online: 30 May 2013. |
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| ABSTRACT |
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Early diagnosis and treatment is important in peripheral arterial disease. Peripheral arterial disease is difficult to diagnose accurately with history and physical examination. A variety of diagnostic methods for peripheral arterial disease are available. The Ankle-brachial index (ABI) and the Toe-brachial index (TBI) are simple and useful methods for that can be performed in the office setting. The aim of this study was to compare the ability to detect peripheral arterial disease between the ABI and the TBI in patients did lower extremity angiography. Forty two patients were included in this study. Total 82 extremities were studied among these patients. Ankle-brachial index and Toe-brachial index were measured. All patients were investigated by lower extremity angiography. The sensitivity and specificity for Ankle-brachial index were 68.2% and 86.8%. The sensitivity and specificity for Toe-brachial index were 82.6% and 79.2%. Six limbs diagnosed to peripheral arterial disease by lower extremity angiography, were detected normal Ankle-brachial index and low Toe-brachial index. Three limbs diagnosed to peripheral arterial disease by lower extremity angiography, were detected normal Ankle-brachial index and Toe-brachial index. The result indicate that Toe-brachial index is more sensitive method to detect peripheral arterial disease. But Toe-brachial index alone are less efficient, because of its low specificity. It is beneficial to combine Ankle-brachial index and Toe-brachial index for detecting peripheral arterial disease. (J Korean Wound Management Soc 2013;9:5-10) |
| Key Words:
Ankle-brachial index, Toe-brachial index, Peripheral arterial disease |
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