Duplex ultrasound and pedal acceleration time as tools to evaluate foot perfusion: a literature review
Ultrassonografia dúplex e tempo de aceleração plantar como ferramentas para avaliar a perfusão do pé: uma revisão da literatura
Drako de Amorim Souza; Pedro Victor Freitas Medrado; Vinícius Alves Santos; Carolline Xavier de Aguiar; Guilherme Souza Silva; Lucas Pereira Pintos de Sousa; Yasmin Bione Diniz Amando; Paulo Fernandes Saad
Abstract
Keywords
Resumo
Atualmente, o teste não invasivo padrão para diagnosticar a doença arterial periférica é o índice tornozelo-braquial, porém, em uma determinada população, este torna-se inviável. Novas evidências propõem o tempo de aceleração plantar, que é um índice ultrassonográfico, como alternativa. Para investigá-lo no contexto do estudo da perfusão do pé, uma revisão bibliográfica integrativa foi realizada entre 03/06/2022 e 08/01/2023. Artigos em inglês, português ou espanhol, publicados entre 2012 e 2022 foram pesquisados através das ferramentas PubMed, Google Scholar e SciELO, com as palavras-chave “Peripheral Arterial Disease” AND “Acceleration Time” AND (Pedal OR Plantar). Pesquisas que não avaliaram a perfusão do pé pelos métodos de interesse, sem dados em humanos e relatos ou séries de casos, foram excluídos. Dos 66 artigos, 7 foram selecionados; todos com notáveis limitações metodológicas. O tempo de aceleração plantar aparenta ser capaz de diagnosticar, estratificar e prognosticar os doentes.
Palavras-chave
Referências
1 Brito CJ, Murilo R. Avaliação clínica do paciente com arteriopatia. In: Brito CJ, Silva RM, Araújo EL, editors. Cirurgia vascular - cirurgia endovascular, angiologia. Rio de Janeiro: Revinter; 2014. p. 229-43. (vol. 1).
2 Mascarenhas JV, Albayati MA, Shearman CP, Jude EB. Peripheral arterial disease. Endocrinol Metab Clin North Am. 2014;43(1):149-66.
3 Conte MS, Bradbury AW, Kolh P, et al. Global vascular guidelines on the management of chronic limb-threatening ischemia. J Vasc Surg. 2019 Jun;69(6):3S-125S.e40.
4 Teso D, Sommerset J, Dally M, Feliciano B, Vea Y, Jones RK. Pedal Acceleration Time (PAT): a novel predictor of limb salvage. Ann Vasc Surg. 2021;75:189-93.
5 Sommerset J, Teso D, Karmy-Jones R, Vea Y, Feliciano B. Pedal flow hemodynamics in patients with chronic limb-threatening ischemia. J Vasc Ultrasound. 2020;44(1):14-20.
6 Sommerset J, Karmy-Jones R, Dally M, Feliciano B, Vea Y, Teso D. Plantar acceleration time: a novel technique to evaluate arterial flow to the foot. Ann Vasc Surg. 2019;60:308-14.
7 Sommerset J, Teso D, Feliciano B, et al. Innovative arterial duplex examination: a guide to evaluate flow in the foot using pedal acceleration time. J Vasc Ultrasound. 2019;43(1):11-7.
8 Trihan JE, Mahé G, Croquette M, et al. Accuracy of acceleration time of distal arteries to diagnose severe peripheral arterial disease. Front Cardiovasc Med. 2022;8:744354.
9 Santos GC. Correlação entre o tempo de aceleração plantar, o índice tornozelo braquial e os escores SVS-WIfI em pacientes com isquemia crônica ameaçadora do membro [tese]. Belo Horizonte: UFMG; 2021 [cited 2023 Jan 8].
10 Geskin G, Mulock MD, Tomko NL, Dasta A, Gopalakrishnan S. Effects of Lower limb revascularization on the microcirculation of the foot: a retrospective cohort study. Diagnostics. 2022;12(6):1320.
11 Ochoa-Ayón BL, Quiroz-Villegas ME, Valdovinos-Estrada JA, et al. Tiempo de aceleracion plantar como factor predictivo para salvamento de extremidad. Rev Mex Angiol. 2022;126-33.
12 Arévalo Zamora C, Cifuentes González JC. Utilidad de la medición del tiempo de aceleración plantar en el diagnostico de enfermedad arterial periférica [Trabajo de grado especialización]. Medellín: Universidad de Antioquia; 2022. [cited 2023 Jan 8].
13 Clinical Information Access Portal. Introduction to evidence-based practice and CIAP: grading levels of evidence [Internet]. 2016 [cited 2023 Jan 8].
14 Harrington A, Kupinski AM. Noninvasive studies for the peripheral artery disease patient. Semin Vasc Surg. 2022;35(2):132-40.
15 Yagyu T, Funabashi S, Yoneda S, Noguchi T, Yasuda S. Novel evaluation method for lower extremity peripheral artery disease with duplex ultrasound usefulness of acceleration time. Circ J. 2020;84(11):1990-8.
16 Danieluk A, Chlabicz S. Automated measurements of ankle-brachial index: a narrative review. J Clin Med. 2021;10(21):5161.
17 Lin JS, Olson CM, Johnson ES, Whitlock EP. The ankle-brachial index for peripheral artery disease screening and cardiovascular disease prediction among asymptomatic adults: a systematic evidence review for the U.S. preventive services task force. Ann Intern Med. 2013;159(5):333-41.
18 Gerhard-Herman MD, Gornik HL, Barrett C, et al. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135(12):e686-725.
19 Criqui MH, Matsushita K, Aboyans V, et al. Lower extremity peripheral artery disease: contemporary epidemiology, management gaps, and future directions: a scientific statement from the American Heart Association. Circulation. 2021;144(9):e171-91.
20 Davies JH, Kenkre J, Williams EM. Current utility of the ankle-brachial index (abi) in general practice: implications for its use in cardiovascular disease screening. BMC Fam Pract. 2014;15(1):69.
21 Nexoe J, Damsbo B, Lund JO, Munck A. Measurement of blood pressure, ankle blood pressure and calculation of ankle brachial index in general practice. Fam Pract. 2012;29(3):345-51.
22 Hageman D, Pesser N, Gommans LNM, et al. Limited adherence to peripheral arterial disease guidelines and suboptimal Ankle Brachial Index Reliability in Dutch Primary Care. Eur J Vasc Endovasc Surg. 2018;55(6):867-73.
23 Aboyans V, Criqui MH, Abraham P, et al. Measurement and interpretation of the Ankle-Brachial Index. Circulation. 2012;126(24):2890-909.
24 Curry SJ, Krist AH, Owens DK, et al. Screening for peripheral artery disease and cardiovascular disease risk assessment with the ankle-brachial index. JAMA. 2018;320(2):177-83.
25 Fowkes G, Fowkes FGR, Murray GD, et al. Ankle brachial index combined with framingham risk score to predict cardiovascular events and mortality. JAMA. 2008;300(2):197-208.
26 Jakubiak GK, Pawlas N, Cieślar G, Stanek A. Chronic lower extremity ischemia and its association with the frailty syndrome in patients with diabetes. Int J Environ Res Public Health. 2020;17(24):9339.
27 Abouhamda A, Alturkstani M, Jan Y. Lower sensitivity of ankle-brachial index measurements among people suffering with diabetes-associated vascular disorders: a systematic review. SAGE Open Med. 2019;7:205031211983503.
28 Herráiz-Adillo Á, Cavero-Redondo I, Álvarez-Bueno C, Martínez-Vizcaíno V, Pozuelo-Carrascosa DP, Notario-Pacheco B. The accuracy of an oscillometric ankle-brachial index in the diagnosis of lower limb peripheral arterial disease: a systematic review and meta-analysis. Int J Clin Pract. 2017;71(9):e12994.
29 Casey S, Lanting S, Oldmeadow C, Chuter V. The reliability of the ankle brachial index: a systematic review. J Foot Ankle Res. 2019;12(1):39.
30 Gunnarsson T, Lindgren H, Gottsäter A, Pärsson H. Intraprocedural transcutaneous oxygen pressure and systolic toe pressure measurements during and after endovascular intervention in patients with chronic limb threatening ischaemia. Eur J Vasc Endovasc Surg. 2021;62(4):583-9.
31 Aerden D, Massaad D, von Kemp K, et al. The ankle-brachial index and the diabetic foot: a troublesome marriage. Ann Vasc Surg. 2011;25(6):770-7.
32 Hyun S, Forbang NI, Allison MA, Denenberg JO, Criqui MH, Ix JH. Ankle-brachial index, toe-brachial index, and cardiovascular mortality in persons with and without diabetes mellitus. J Vasc Surg. 2014;60(2):390-5.
33 Tehan PE, Santos D, Chuter VH. A systematic review of the sensitivity and specificity of the toe-brachial index for detecting peripheral artery disease. Vasc Med. 2016;21(4):382-9.
34 Garcia LA. Epidemiology and pathophysiology of lower extremity peripheral arterial disease. J Endovasc Ther. 2006 Feb;13(Suppl 2):II3-9. http://dx.doi.org/10.1177/15266028060130S204. PMID: 16472007.
35 Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br J Plast Surg. 1987;40(2):113-41.
36 van den Berg JC. Angiosome perfusion of the foot: an old theory or a new issue? Semin Vasc Surg. 2018;31(2-4):56-65.
37 Fujii M, Terashi H. Angiosome and tissue healing. Ann Vasc Dis. 2019;12(2):147-50.
Submetido em:
13/02/2023
Aceito em:
11/05/2023