{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:30:02Z","timestamp":1777401002468,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T00:00:00Z","timestamp":1640563200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>An objective hemodynamic assessment is mandatory to confirm Critical Limb Ischemia (CLI). Toe pressure measurement is recommended. We compared toe measurements obtained using the Laser Doppler method (LD) (PERIMED PeriFlux, Sweden) considered as the reference test, with those obtained with a portable device using photoplethysmography (PPG) (Sys Toe Atys Medical, France). A total of 93 (123 legs) patients from 3 French hospitals with a clinical suspicion of CLI were included and had measurements with each device carried out by skilled operators. PPG was unable to provide a measurement in 10 patients. Lin\u2019s Coefficient correlation concordance (CCC) and Bland and Altman\u2019s scatter plot were analyzed for the 83 remaining patients, CCC was .84 95%CI (.77\u2013.89). For detection of CLI, Cohen\u2019s kappa was .67 95%CI (.53\u2013.81). The PPG device is fairly reliable for toe pressure measurement in patients suspected of CLI and could be useful when LD is not available. However, it fails to deliver a measurement in approximately 10% of cases. No conclusion should be made about CLI for these patients when no measurement is obtainable and other methods should be used (LD, transcutaneous oxygen pressure) to assess perfusion of the limbs.<\/jats:p>","DOI":"10.1177\/00033197211063657","type":"journal-article","created":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T09:23:00Z","timestamp":1640596980000},"page":"539-545","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Toe Pressure Measurements in Patients Suspected of Critical Limb Ischemia"],"prefix":"10.1177","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6759-4980","authenticated-orcid":false,"given":"Loubna","family":"Dari","sequence":"first","affiliation":[{"name":"Vascular Medicine Department, Bordeaux University Hospital, Bordeaux, France"},{"name":"Vascular Surgery and Medicine Department, Limoges University Hospital, Limoges, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damien","family":"Barcat","sequence":"additional","affiliation":[{"name":"Vascular Medicine Department, Robert-Boulin Hospital, Libourne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Ally","sequence":"additional","affiliation":[{"name":"Vascular Medicine Department, Robert-Boulin Hospital, Libourne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lagarde","sequence":"additional","affiliation":[{"name":"INSERM, Univ, Limoges, CHU Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carine","family":"Boulon","sequence":"additional","affiliation":[{"name":"Vascular Medicine Department, Bordeaux University Hospital, Bordeaux, 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