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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Quantitative Assessment of Peroneal Artery Pressure at the Ankle With Noninvasive Vascular Testing
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Quantitative Assessment of Peroneal Artery Pressure at the Ankle With Noninvasive Vascular Testing

机译：非血管血管检测踝关节踝关节动脉压的定量评估

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摘要

Although the foot and ankle derives its arterial supply from a combination of the anterior tibial artery (ATA), posterior tibial artery (PTA), and peroneal artery (PA), the focus of clinical examination techniques and noninvasive vascular testing is primarily on the ATA and PTA and not on the PA. The objectives of the present investigation were to evaluate the feasibility of incorporating an assessment of the PA into a noninvasive vascular testing protocol and to collect normative data of pressure measurements of the PA at the ankle. We attempted to locate a Doppler signal of the PA posterior to the lateral malleolus in consecutive patients undergoing our institution's standard protocol for lower extremity noninvasive vascular testing using the ankle-brachial index and photoplethysmography. An audible signal of the PA with an available pressure measurement recording posterior to the lateral malleolus was found in a large majority (92.0%) of the studied legs with peripheral arterial disease. We also found pressure measurements in the PA generally equivalent to that of the ATA and PTA. The mean standard deviation systolic pressure of the PA was 130.33 +/- 44.74 (range 54 to 255) mm Hg, with a corresponding ankle-brachial index of 0.92. The results of the present investigation provide unique information on a potentially underappreciated aspect of lower extremity vascular anatomy with the potential to affect rearfoot surgical decision making and planning. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译：虽然脚和脚踝从前胫骨动脉（ATA），后胫骨动脉（PTA）和腓动脉（PA）的组合来源于其动脉供应，但临床检查技术和非侵入性血管检测的重点主要是ATA和PTA而不是在PA上。本研究的目的是评估将PA评估纳入非侵入性血管检测协议的可行性，并在脚踝处收集PA的PA的压力测量的规范数据。我们试图在使用脚踝 - 臂指数和光学质读物检查中，在接受我们机构的标准方案的连续患者中定位PA后的多普勒信号。在具有外周动脉疾病的大多数（92.0％）的研究中，发现了PA的可用压力测量录音的PA的可听信号。我们还发现PA通常相当于ATA和PTA的PA中的压力测量。 PA的平均标准偏差收缩压为130.33 +/- 44.74（范围54至255）mm Hg，相应的踝臂指数为0.92。本研究结果提供了关于下肢血管解剖学的潜在低估的潜在缺乏的潜在信息，可能会影响后脚手术决策和规划。 （c）2017由美国脚和踝外科医院。版权所有。

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