The
incidence of symptomatic peripheral arterial disease (PAD) in patients
undergoing hemodialysis (HD) ranges from 19 to 23%, being higher than in the
general population. In some HD patients, PAD is asymptomatic, and rapidly
progresses; critical limb ischemia (CLI) is detected without intermittent
claudication.
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| Ankle and Toe-Brachial Pressure Index |
Refractory CLI requires lower-limb amputation, markedly reducing
activities of daily life or leading to death from sepsis. Therefore, it is
important to detect latent PAD in the early stage and perform treatment. For
PAD screening, the ABI is routinely used. However, in HD patients, the
sensitivity of this index is low due to marked arterial calcification, delaying
the detection of PAD. As a means to overcome this limitation, there is a method
to measure lower limb blood flow after exercise. In this article, we review the
usefulness of these examinations. Read More>>>>>>>>
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