Many patients at risk for peripheral arterial disease (PAD) present with substantial comorbidities, which increases the risk for cardiovascular events and makes diagnosis more complex. If the patient presents with a set of different overlapping problems (e.g., diabetes, chronic kidney disease, hypertension) then it is unlikely that just one vascular test will answer all questions. The solution is simple; combine different vascular tests to get a good picture of both the macrovascular and microvascular status in the limbs.
- Patients with diabetes or chronic kidney disease might have medial calcification, macrovascular and microvascular problems. A combination of toe pressure, PVR and tcpO2 is the only option.
- All Critical limb-threatening ischemia (CLTI) patients should be evaluated using both toe pressure and tcpO2 according to recent findings.
- It is important to make sure that perfusion is restored in both the macro- and microcirculation following revascularization.
- Better for the patient to get all hemodynamic tests done in one quick visit.
- Easier for the vascular staff to interpret the report when all tests were performed at the same time and conditions.