Comparative study of ankle brachial index [abi] digitial subtraction angiography [dsa] and doppler flowmetry in evaluation of diabetic foot

It is a prospective study carried out at Lahore General Hospital from April 1993 to April 1996 in 21 Diabetic Patients with ulceration in the foot. The purpose of this study was to find out the best method for assessment of Diabetic Foot Ulceration. For this purpose Clinical Method, Ankle Brachial Index, Doppler Ultrasound and Digital Subtraction Angiography were compared as individual parameters. The results show that DSA has got the best sensitivity [93%], followed by Doppler Sonograpy [86%] and Ankle Brachial Index [84%]. We conclude that Digital Subtraction Angiography should be carried out in all doubtful cases to decide the management and the level of amputation