Key points

• Angioplasty is the first-line treatment for peripheral

Fig. 4.18 The left foot is cold, red and ischaemic at presentation.

arterial disease in the diabetic limb, where the intention is to obtain straight line arterial flow to the foot

• Measuring the pressure index may be impossible in patients on haemodialysis with fistulas

* TcPo2 is a useful alternative method of quantitating ischaemia in these circumstances.

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