{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:28Z","timestamp":1783509268823,"version":"3.55.0"},"reference-count":27,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The objective of this investigation was to determine the level of agreement between a systematic clinical Doppler examination of the foot and ankle and diagnostic peripheral angiography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The described Doppler examination technique attempted to determine the patency, quality, and direction of the flow through the dorsalis pedis artery, posterior tibial artery, terminal branches of the peroneal artery, and vascular arch of the foot. These results were then compared with angiographic distal run-off images as interpreted by a blinded vascular surgeon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Levels of agreement with respect to artery patency\/quality ranged from 64.0% to 84.0%. Sensitivity ranged from 53.8% to 84.2%, and specificity ranged from 64.7% to 91.7%. Agreement with respect to arterial flow direction ranged from 73.3% to 90.5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We interpret these results to indicate that this comprehensive physical examination technique of the arterial flow to the foot and ankle with a Doppler device might serve as a reasonable initial surrogate to diagnostic angiography in some patients with peripheral arterial disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7547\/18-140","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T17:01:25Z","timestamp":1624035685000},"source":"Crossref","is-referenced-by-count":1,"title":["Level of Agreement Between Systematic Doppler Examination of the Lower Extremity and Diagnostic Angiography in the Setting of Peripheral Arterial Disease"],"prefix":"10.3390","volume":"111","author":[{"given":"Timothy","family":"Greene","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd","family":"Hasenstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric T.","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Meyr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-111-3-Article_3-b01","series-title":"JAPMA","first-page":"335","article-title":"The costs of diabetic foot: the economic case for the limb salvage team","volume":"100","author":"Driver","year":"2010","unstructured":"Driver\n              VR\n            \n            \n              Fabbi\n              M\n            \n            \n              Lavery\n              LA\n            \n            :\n          \n          The costs of diabetic foot: the economic case for the limb salvage team.\n\t\t\t\t\tJAPMA100: 335,\n\t\t\t\t\t2010."},{"key":"i8750-7315-111-3-Article_3-b02","series-title":"Diabetes Care","first-page":"1033","article-title":"Economic costs of diabetes in the U.S. in 2012","volume":"36","year":"2013","unstructured":"American Diabetes Association:\n          Economic costs of diabetes in the U.S. in 2012.\n\t\t\t\t\tDiabetes Care36: 1033,\n\t\t\t\t\t2013.\n\t\t\t\t23468086"},{"issue":"(suppl)","key":"i8750-7315-111-3-Article_3-b03","series-title":"Gynecol Oncol","doi-asserted-by":"publisher","first-page":"S92","DOI":"10.1016\/j.ygyno.2008.07.044","article-title":"How to make a hospital-based wound center financially viable: the Georgetown University Hospital model","volume":"111","author":"Attinger","year":"2008","unstructured":"Attinger\n              CE\n            \n            \n              Hoang\n              H\n            \n            \n              Steinberg\n              J\n            \n            :\n          \n          How to make a hospital-based wound center financially viable: the Georgetown University Hospital model.\n\t\t\t\t\tGynecol Oncol111(suppl): S92,\n\t\t\t\t\t2008.\n\t\t\t\t1879921010.1016\/j.ygyno.2008.07.044"},{"issue":"(suppl 1)","key":"i8750-7315-111-3-Article_3-b04","series-title":"Diabetes Metab Res Rev","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1002\/dmrr.2245","article-title":"Cost of treating diabetic foot ulcers in five different countries","volume":"28","author":"Cavanagh","year":"2012","unstructured":"Cavanagh\n              P\n            \n            \n              Attinger\n              C\n            \n            \n              Abbas\n              Z\n            \n            :\n          \n          Cost of treating diabetic foot ulcers in five different countries.\n\t\t\t\t\tDiabetes Metab Res Rev28(suppl 1): 107,\n\t\t\t\t\t2012.\n\t\t\t\t10.1002\/dmrr.224522271734"},{"issue":"(suppl 2)","key":"i8750-7315-111-3-Article_3-b05","series-title":"Clin Infect Dis","doi-asserted-by":"publisher","first-page":"S132","DOI":"10.1086\/383275","article-title":"Health-economic consequences of diabetic foot lesions","volume":"39","author":"Ragnarson Tennvall","year":"2004","unstructured":"Ragnarson Tennvall\n              G\n            \n            \n              Apelqvist\n              J\n            :\n\t\t\t\t\t\n          Health-economic consequences of diabetic foot lesions.\n\t\t\t\t\tClin Infect Dis39(suppl 2): S132,\n\t\t\t\t\t2004.\n\t\t\t\t1530699210.1086\/383275"},{"key":"i8750-7315-111-3-Article_3-b06","series-title":"Clin Podiatr Med Surg","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1016\/S0891-8422(03)00088-0","article-title":"Vascular evaluation and arterial reconstruction of the diabetic foot","volume":"20","author":"Sumpio","year":"2003","unstructured":"Sumpio\n              BE\n            \n            \n              Lee\n              T\n            \n            \n              Blume\n              PA:\n            \n          \n          Vascular evaluation and arterial reconstruction of the diabetic foot.\n\t\t\t\t\tClin Podiatr Med Surg20: 689,\n\t\t\t\t\t2003.\n\t\t\t\t1463603310.1016\/S0891-8422(03)00088-0"},{"key":"i8750-7315-111-3-Article_3-b07","series-title":"Am J Surg","doi-asserted-by":"publisher","first-page":"34S","DOI":"10.1016\/S0002-9610(03)00302-7","article-title":"The role of surgical revascularization in the management of diabetic foot wounds","volume":"187","author":"Faries","year":"2004","unstructured":"Faries\n              PL\n            \n            \n              Teodorescu\n              VJ\n            \n            \n              Morrissey\n              NJ\n            \n            :\n          \n          The role of surgical revascularization in the management of diabetic foot wounds.\n\t\t\t\t\tAm J Surg187: 34S,\n\t\t\t\t\t2004.\n\t\t\t\t1514799010.1016\/S0002-9610(03)00302-7"},{"key":"i8750-7315-111-3-Article_3-b08","series-title":"Curr Diab Rep","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1007\/s11892-005-0063-7","article-title":"Peripheral arterial disease: clinical assessment and indications for revascularization in the patient with diabetes","volume":"5","author":"Muhs","year":"2005","unstructured":"Muhs\n              BE\n            \n            \n              Gagne\n              P\n            \n            \n              Sheehan\n              P:\n            \n          \n          Peripheral arterial disease: clinical assessment and indications for revascularization in the patient with diabetes.\n\t\t\t\t\tCurr Diab Rep5: 24,\n\t\t\t\t\t2005.\n\t\t\t\t1566391310.1007\/s11892-005-0063-7"},{"key":"i8750-7315-111-3-Article_3-b09","series-title":"Diabetologia","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1007\/s00125-008-0940-0","article-title":"Prediction of outcome in individuals with diabetic foot ulcer: focus on the differences between individuals with and without peripheral arterial disease: the EURODIALE Study","volume":"51","author":"Prompers","year":"2008","unstructured":"Prompers\n              L\n            \n            \n              Schaper\n              N\n            \n            \n              Apelqvist\n              J\n            \n            :\n          \n          Prediction of outcome in individuals with diabetic foot ulcer: focus on the differences between individuals with and without peripheral arterial disease: the EURODIALE Study.\n\t\t\t\t\tDiabetologia51: 747,\n\t\t\t\t\t2008.\n\t\t\t\t1829726110.1007\/s00125-008-0940-0"},{"issue":"(Suppl 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for lower extremity peripheral vascular occlusive disease.\n\t\t\t\t\tValue Health12: 262,\n\t\t\t\t\t2009.\n\t\t\t\t1865709310.1111\/j.1524-4733.2008.00438.x"},{"key":"i8750-7315-111-3-Article_3-b13","series-title":"Indian Heart J","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1016\/j.ihj.2013.12.022","article-title":"A cost effective endovascular approach for management of post-catheterization profunda femoris artery pseudoaneurysm using thrombin","volume":"66","author":"Mohan","year":"2014","unstructured":"Mohan\n              B\n            \n            \n              Mohan\n              G\n            \n            \n              Tandon\n              R\n            \n            :\n          \n          A cost effective endovascular approach for management of post-catheterization profunda femoris artery pseudoaneurysm using thrombin.\n\t\t\t\t\tIndian Heart J66: 83,\n\t\t\t\t\t2014.\n\t\t\t\t2458110110.1016\/j.ihj.2013.12.022"},{"key":"i8750-7315-111-3-Article_3-b14","series-title":"J Vasc Surg","doi-asserted-by":"publisher","first-page":"1682","DOI":"10.1016\/j.jvs.2016.04.056","article-title":"The accuracy and cost-effectiveness of strategies used to identify peripheral artery disease among patients with diabetic foot ulcers","volume":"64","author":"Barshes","year":"2016","unstructured":"Barshes\n              NR\n            \n            \n              Flores\n              E\n            \n            \n              Belkin\n              M\n            \n            :\n          \n          The accuracy and cost-effectiveness of strategies used to identify peripheral artery disease among patients with diabetic foot ulcers.\n\t\t\t\t\tJ Vasc Surg64: 1682,\n\t\t\t\t\t2016.\n\t\t\t\t2757581310.1016\/j.jvs.2016.04.056"},{"key":"i8750-7315-111-3-Article_3-b15","series-title":"Am J Med","first-page":"31","article-title":"Renal failure 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