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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 1/2017

01-01-2017 | Technical Note

Rearfoot Transcutaneous Oximetry is a Useful Tool to Highlight Ischemia of the Heel

Authors: Valentina Izzo, Marco Meloni, Sebastiano Fabiano, Daniele Morosetti, Laura Giurato, Antonio Chiaravalloti, Valeria Ruotolo, Roberto Gandini, Luigi Uccioli

Published in: CardioVascular and Interventional Radiology | Issue 1/2017

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Abstract

Purpose

To demonstrate the usefulness of rearfoot transcutaneous oximetry to assess the peripheral arterial disease in diabetic patients with heel ulcer.

Methods

From our database of 550 critical limb ischemia diabetic patients followed after a percutaneous transluminal angioplasty, we have selected patients with below the knee arterial disease. Patients were grouped according to the dorsal transcutaneous oximetry value (Group A < 30 mmHg; Group B ≥ 30 mmHg). Patients of Group B had a second oximetry performed at the rearfoot, close to the lesion localized in all cases at the heel. Finally, the analysis of the arterial pattern disease has been done.

Results

We selected 191 patients: Group A (151 patients), dorsal transcutaneous oximetry of 11.8 ± 0.7 mmHg; Group B (40 patients), dorsal transcutaneous oximetry of 44.2 ± 10.1 mmHg. In Group B, rearfoot oximetry was 20.5 ± 5 mmHg, significantly lower than dorsal oximetry (p = 0.0179). The anterior tibial artery was involved in all patients of Group A. In Group B, the anterior tibial artery was involved in 15 subjects and never alone; the posterior tibial artery was involved in 20 subjects and in 11 cases alone. The peroneal artery was affected in 20 subjects and in 14 patients alone.

Conclusion

When a heel lesion is present and the transcutaneous oximetry recorded on the dorsum of the foot does not confirm the presence of critical limb ischemia (not ≤30 mmHg), a second oximetry recorded on the rearfoot is useful to point out ischemia of the peroneal artery and/or of the posterior tibial artery.
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Metadata
Title
Rearfoot Transcutaneous Oximetry is a Useful Tool to Highlight Ischemia of the Heel
Authors
Valentina Izzo
Marco Meloni
Sebastiano Fabiano
Daniele Morosetti
Laura Giurato
Antonio Chiaravalloti
Valeria Ruotolo
Roberto Gandini
Luigi Uccioli
Publication date
01-01-2017
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 1/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1434-y

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