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Use and Utility of Ankle Brachial Index in Patients with Diabetes

Open access
Potier, L., Abi Khalil, C., Mohammedi, K., Roussel, R.·2011·European Journal of Vascular and Endovascular Surgery

Abstract

Ankle brachial index (ABI) is a simple method to screen peripheral arterial disease (PAD) and to evaluate cardiovascular (CV) prognosis in the general population. Measuring it requires a hand-held Doppler probe but it can be done also with an automatic device. ABI is an effective tool for clinical practice or clinical studies. However, in diabetic patients, it has some specific caveats. Sensitivity of the standard threshold of 0.9 appears to be lower in diabetic patients with complications. Moreover, highly frequent arterial medial calcifications in diabetes increase ABI. It has been demonstrated that measurements >1.3 are well correlated with both an increased prevalence of PAD and CV risk. Therefore, ABI thresholds of less than 0.9 and more than 1.3 are highly suspicious for PAD and high CV risk in diabetic patients. However, when there is concomitant clinical peripheral neuropathy or high risk of arterial calcification, the efficiency of ABI seems to be limited. In this case, other methods should be applied, toe pressure, in particular. Thus, the ABI could be used in patients with diabetes, but values should be interpreted with precision, according to the clinical situation.

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Metadata

Authors
Potier, L., Abi Khalil, C., Mohammedi, K., & Roussel, R.
Venue
European Journal of Vascular and Endovascular Surgery
Publisher
Elsevier BV
Published
2011-01
Volume
41
Issue
1
Pages
110-116
ISSN
1078-5884 (ISSN-L)
OpenAlex
W1979008336
Cited by
253
References
66
FWCI
11.80
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Use and Utility of Ankle Brachial Index in Patients with Diabetes. https://app.cochat.ai/papers/10.1016/j.ejvs.2010.09.020
The paper
Potier, L., Abi Khalil, C., Mohammedi, K., & Roussel, R. (2011). Use and Utility of Ankle Brachial Index in Patients with Diabetes. European Journal of Vascular and Endovascular Surgery. https://doi.org/10.1016/j.ejvs.2010.09.020

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.