Journal of Vascular Surgery
Volume 47, Issue 2 , Pages 318-323 , February 2008

Clinical reliability and utility of skin perfusion pressure measurement in ischemic limbs—Comparison with other noninvasive diagnostic methods

Received 14 March 2007 ,Accepted 24 October 2007.

  • Image Result

    Relationship between skin perfusion pressure (SPP) and ankle blood pressure (ABP) (A; n = 351), SPP and toe blood pressure (TBP) (B; n = 367), and SPP and transcutaneous oxygen pressure (tcPO2) (C; n

    Relationship between skin perfusion pressure (SPP) and ankle blood pressure (ABP) (A; n = 351), SPP and toe blood pressure (TBP) (B; n = 367), and SPP and transcutaneous oxygen pressure (tcPO2) (C; n = 380). There was a linear correlations between SPP and ABP (P < .0001, r = 0.748), SPP and TBP (P < .0001, r = 0.853), and SPP and tcPO2 (P < .0001, r = 0.0620).

  • Image Result
    ROC curve for the threshold of each examination. Cut-off values: ankle blood pressure (ABP), 80 mm Hg; toe blood pressure (TBP), 30 mm Hg; SPP, 40 mm Hg; and transcutaneous oxygen pressure (tcPO2), 30

    ROC curve for the threshold of each examination. Cut-off values: ankle blood pressure (ABP), 80 mm Hg; toe blood pressure (TBP), 30 mm Hg; SPP, 40 mm Hg; and transcutaneous oxygen pressure (tcPO2), 30 mm Hg. The measurement of SPP was more reliable than the measurements of ABP, TBP, and tcPO2.

  • Image Result
    Relationship between skin perfusion pressure (SPP) and ankle blood pressure (ABP) (A; n = 73), SPP and toe blood pressure (TBP) (B; n = 64), and SPP and transcutaneous oxygen pressure (tcPO2) (C; n =

    Relationship between skin perfusion pressure (SPP) and ankle blood pressure (ABP) (A; n = 73), SPP and toe blood pressure (TBP) (B; n = 64), and SPP and transcutaneous oxygen pressure (tcPO2) (C; n = 93) in healed and unhealed lesions. ○ healed, ● unhealed There was a significant correlation between SPP and ABP (P <.001, r = 0.646), SPP and TBP (P < .001, r = 0.690), SPP and tcPO2 (P < .001, r = 0.455).

 Competition of interest: none.

PII: S0741-5214(07)01748-X

doi: 10.1016/j.jvs.2007.10.045

Journal of Vascular Surgery
Volume 47, Issue 2 , Pages 318-323 , February 2008