Peripheral vascular disease assessment in the lower limb: a review of current and emerging non-invasive diagnostic methods

Background Worldwide, at least 200 million people are affected by peripheral vascular diseases (PVDs), including peripheral arterial disease (PAD), chronic venous insufficiency (CVI) and deep vein thrombosis (DVT). The high prevalence and serious consequences of PVDs have led to the development of s...

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Veröffentlicht in:Biomedical engineering online Jg. 17; H. 1; S. 61 - 27
Hauptverfasser: Shabani Varaki, Elham, Gargiulo, Gaetano D., Penkala, Stefania, Breen, Paul P.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London BioMed Central 11.05.2018
BioMed Central Ltd
BMC
Schlagworte:
Ankle Brachial Index
Biomaterials
Biomedical Engineering and Bioengineering
Biomedical Engineering/Biotechnology
Biotechnology
Blood Pressure Monitors
Care and treatment
Chronic venous insufficiency
Deep vein thrombosis
Diagnosis
Diagnostic imaging
Diagnostic Techniques and Procedures
Doppler ultrasound
Engineering
Humans
Lower Extremity
Peripheral arterial disease
Peripheral vascular diseases
Peripheral Vascular Diseases - diagnosis
Peripheral Vascular Diseases - diagnostic imaging
Peripheral Vascular Diseases - physiopathology
Plethysmography
Practice guidelines (Medicine)
Review
Ultrasonography, Doppler
Australia
Peripheral arterial disease
Deep vein thrombosis
Chronic venous insufficiency
Doppler ultrasound
Ankle Brachial Index
Plethysmography
ISSN:1475-925X, 1475-925X
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Zusammenfassung:Background Worldwide, at least 200 million people are affected by peripheral vascular diseases (PVDs), including peripheral arterial disease (PAD), chronic venous insufficiency (CVI) and deep vein thrombosis (DVT). The high prevalence and serious consequences of PVDs have led to the development of several diagnostic tools and clinical guidelines to assist timely diagnosis and patient management. Given the increasing number of diagnostic methods available, a comprehensive review of available technologies is timely in order to understand their limitations and direct future development effort. Main body This paper reviews the available diagnostic methods for PAD, CVI, and DVT with a focus on non-invasive modalities. Each method is critically evaluated in terms of sensitivity, specificity, accuracy, ease of use, procedure time duration, and training requirements where applicable. Conclusion This review emphasizes the limitations of existing methods, highlighting a latent need for the development of new non-invasive, efficient diagnostic methods. Some newly emerging technologies are identified, in particular wearable sensors, which demonstrate considerable potential to address the need for simple, cost-effective, accurate and timely diagnosis of PVDs.
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ISSN:1475-925X
1475-925X
DOI:10.1186/s12938-018-0494-4