Engineering Commons^™

A Device For Noninvasive Assessment Of Vascular Impairment Risk In The Lower Extremity, Michael J. Hoffmann, Paul E. Knudson, M. Barbara Silver-Thorn

Biomedical Engineering Faculty Research and Publications

The repeatability and resolution of the clinical gold standard of vascular assessment, the ankle-brachial index (ABI), was compared to that of a new device that dynamically assesses tissue perfusion during external loading utilizing laser Doppler flowmetry. Eight subjects of varying levels of vascular impairment were tested in successive weeks using two different sites on the subject's posterior calf. These new measures included the perfusion decrease as well as the unloading delay during cyclic loading. Some new dynamic tissue perfusion measures demonstrated comparable levels of reproducibility with the ABI (e.g., 10%-20%). Only the unloading delay showed potentially enhanced resolution over ABI …