Comparison of Amputation Free Survival in Patients with Diabetes Mellitus and Peripheral Arterial Disease with Heel Ulcer Treated by Endovascular Versus Open Vascular Surgery

Abstract

mean SVS scores by CEtUS were 2.0AE2.12 and 2.0AE0.0 with scores of 2.25AE1.03 and 2.5AE0.0 by angiography. There were 21 instances where CEtUS demonstrated severe arterial stenosis or occlusion not reported on angiography. Conversely there were 12 instances where angiography demonstrated severe stenosis or occlusion but CEtUS did not. There was a good correlation between CEtUS and the various angiogram types, r ¼ 0.67 (95%CI 0.58e0.74), p<0.0001. Conclusion-As surgeons can see and interpret CEtUS images themselves and as CEtUS is entirely safe, CEtUS may ultimately replace peripheral angiography. CEtUS is now routinely used in our service to identify target distal arteries for reconstruction. References 1. (NICE), N.I.o.h.a.C.E., Peripheral arterial disease: diagnosis and management (CG147).