Hydrostatic systolic toe pressure for diagnosis of peripheral ischaemic vessel disease in diabetes mellitus

Chantelau, E.; Sambraus, H.W.

doi:10.1016/s1078-5884(96)80294-2

Cited by 1 publication

(2 citation statements)

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“…The value of the pole test in the diagnosis of severe ischaemia is limited by lower leg length. The leg length of most patients does not permit pressures greater than 45 mmHg 6 -60 mmHg 15,17 to be measured at the ankle level. At the toe level higher pressures (55-70 mmHg 6,17 ) can be measured because the distance from the hip to the toe is longer.…”

Section: Found Thatmentioning

confidence: 99%

“…The leg length of most patients does not permit pressures greater than 45 mmHg 6 -60 mmHg 15,17 to be measured at the ankle level. At the toe level higher pressures (55-70 mmHg 6,17 ) can be measured because the distance from the hip to the toe is longer. In our study, we managed to measure pole test pressures as high as 70 mmHg but in many patients, because of the limited leg length or mobility in the elderly, values greater than 50 mmHg could not be measured.…”

Section: Found Thatmentioning

confidence: 99%

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‘Pole Test’ Measurements in Critical Leg Ischaemia

Paraskevas

Ayari

Malikov

et al. 2006

European Journal of Vascular and Endovascular Surgery

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Measurements obtained by cuff-manometry were significantly higher to those obtained by pole test (mean pressure difference: 40 mmHg, p<0.001). The difference between the two methods remained statistically significant for both diabetics (50.73, p<0.001) and non-diabetics (31.46, p<0.001). Mean TcPO2 value was 15.51 mmHg and there was no important difference between patients with and without diabetes. Overall, there was a correlation between sphygmomanometry and pole test (r = 0.481). The correlation persisted for patients without diabetes (r = 0.581), but was not evident in patients with diabetes. Correlation between pole test and TcPO2 was observed only for patients with diabetes (r = 0.444). There was no correlation between cuff-manometry and TcPO2. The pole test offered an accuracy of 88% for the detection of CLI. The sensitivity of this test was 95% and the specificity 73%.

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