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ABI_TBI in CLI_MCB Thesis_FINAL.pdf (1.01 MB)

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RELATIONSHIP OF INFRAGENICULAR ARTERIAL PATENCY WITH ANKLE-BRACHIAL INDEX AND TOE-BRACHIAL INDEX IN CRITICAL LIMB ISCHEMIA

Bunte, Matthew C
http://rave.ohiolink.edu/etdc/view?acc_num=case1396547589

Abstract Details

2014, Master of Sciences, Case Western Reserve University, Clinical Research.
The relationship between ankle-brachial index (ABI) and toe-brachial index (TBI) remains uncertain relative to features of clinical status and lower extremity arterial runoff among patients with critical limb ischemia (CLI). From July 2011 to February 2013, 116 consecutive patients with CLI were evaluated with non-invasive testing and subsequent lower extremity angiography, which were compared against clinical severity. There was a significant association between Rutherford classification and arterial runoff (p=0.003) that was not observed with ABI (p=0.28). Among patients with ischemic tissue loss, 29% had a normal or mildly reduced ABI. In multivariable analysis, the odds of abnormal arterial runoff were associated with increased age, ABI, and Rutherford classification. In the evaluation of CLI, assessment of clinical severity may be a more valuable predictor of infragenicular runoff than ABI alone. Further prospective analysis of non-invasive testing may enhance the diagnostic accuracy among patients with CLI.
James C. Spilsbury (Committee Chair)
Thomas E. Love (Committee Member)
Dennis Stacey (Committee Member)
Mehdi H. Shishehbor (Advisor)
42 p.
Medicine
ankle-brachial index, toe-brachial index, critical limb ischemia

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Citations

  • Bunte, M. C. (2014). RELATIONSHIP OF INFRAGENICULAR ARTERIAL PATENCY WITH ANKLE-BRACHIAL INDEX AND TOE-BRACHIAL INDEX IN CRITICAL LIMB ISCHEMIA [Master's thesis, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1396547589

    APA Style (7th edition)

  • Bunte, Matthew. RELATIONSHIP OF INFRAGENICULAR ARTERIAL PATENCY WITH ANKLE-BRACHIAL INDEX AND TOE-BRACHIAL INDEX IN CRITICAL LIMB ISCHEMIA. 2014. Case Western Reserve University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1396547589.

    MLA Style (8th edition)

  • Bunte, Matthew. "RELATIONSHIP OF INFRAGENICULAR ARTERIAL PATENCY WITH ANKLE-BRACHIAL INDEX AND TOE-BRACHIAL INDEX IN CRITICAL LIMB ISCHEMIA." Master's thesis, Case Western Reserve University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=case1396547589

    Chicago Manual of Style (17th edition)

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© 2014, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.