4
Assessment
Peripheral Arterial Disease (PAD) and the DFU
➤ We suggest that patients with diabetes have ankle-brachial index
(ABI) measurements performed when they reach 50 years of
age (2C).
➤ We suggest that patients with diabetes who have a prior history of
DFU, prior abnormal vascular examination, prior intervention for
peripheral vascular disease, or known atherosclerotic cardiovascular
disease (eg, coronary, cerebral, or renal) have an annual vascular
examination of the lower extremities and feet including ABI and toe
pressures (2C).
➤ We recommend that patients with DFU have pedal perfusion assessed
by ABI, ankle and pedal Doppler arterial waveforms, and either toe
systolic pressure or transcutaneous oxygen pressure (TcPO
2
) annually
(1B).
➤ In patients with DFU who have PAD, we recommend revascularization
by either surgical bypass or endovascular therapy (1B).
