Assessment of perfusion of the foot in patients with a diabetic foot ulcer Rob Hinchliffe St George’s Vascular Institute, London IWGDF 2015 The Hague

RH IWGDF 2015

Assessment of perfusion of the foot in patients with a diabetic foot ulcer •Definition •How? •Why? •Guidance / controversy

RH IWGDF 2015

Critical limb ischaemia Recommendation 16 (TASC II) •CLI = patients with chronic ischemic rest pain, ulcers or gangrene due to PAD. •Patients with ulcers / gangrene, presence of CLI is suggested by: ankle pressure