March 2013

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   Peter Blume, DPM, concurs that PAD is a common risk factor for major limb amputation.

   As he notes, an appropriate way to assess vascular status in patients following minor amputation typically includes a comprehensive noninvasive vascular evaluation. Options for PAD detection include cutaneous oximetry, pulse volume recording, photoplethysmography, segmental pressures, toe pressures and ultrasound in addition to angiographic studies, according to Dr. Blume, an Assistant Clinical Professor of Surgery in the Department of Surgery at the Yale University School of Medicine in New Haven, Ct.

   In addition to PAD, Dr. Blume notes other significant risk factors for major amputation include diabetes, renal disease, tobacco use, high body mass index, transplant immunosuppression and seropositive arthropathy.

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