Lower Extremity Reconstruction

PAD or LEAD (lower extremity artery disease) is the narrowing of peripheral arteries. It is caused by a build-up of plaque in the arterial walls. This means the blood flow to the limbs is restricted. The most typical symptom is leg pain which occurs during exercise and is relieved by a short period of rest, this is known as intermittent claudication. Most patients, however, do not necessarily feel the leg pain or any other symptoms or are unable to describe them to their doctor.

If a patient has an amputated leg or is not compliant for the ABI measurement because of extensive wounds, it can be measured only on patient’s left or right leg by choosing the “Amputation settings” in the device “Settings” menu.

Yes, severe PAD is indicated with a warning and the PAD symbol.

If the patient has severe PAD, the pulse in the ankles is very weak. This means the ABI cannot be accurately calculated. Instead, the device will analyze the pulse waveform and indicate severe disease with a PAD symbol. In the case of a PAD result, we always recommend repeating the measurement with the device connected to the computer. This provides the full-length pulse waveform, which can be analyzed to confirm the condition.

The device has the unique ability to detect severe PAD. In case of severe PAD, the blood flow in the arteries is very much limited and therefore the oscillations, which are essential for the measurement of ankle pressures, might not be present. This is highly dependent on the elasticity of the arteries. If no oscillations are detected, the ABI cannot be calculated, but the device will analyze the pulse waveform and warn you about the presence of severe PAD (with the PAD message). You can confirm the result by examining the full pulse waveforms on the MESIresults report on your computer. If the blood flow is very limited, but there is enough elasticity, the device will calculate the ABI.

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