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-248285-405130ABPI and TBPI Interpretations Ankle Brachial Pressure Index (ABPI) / Toe Brachial Pressure Index (TBPI ) Interpretations 3,12ABPI > 0.9-1.2 ....Normal (1.2 or > could indicate calcification, seen in diabetes, patients that smoke, hypertension, rheumatoid arthritis, systemic vasculitis or advanced age ) 0.80-0.9 ......Mild ischemia (inflow disease may be present)0.50-0.79 ....Moderate ischemia (Would benefit from vascular surgeon consult to expedite wound healing)0.35-0.49 ....Moderately severe ischemia (Urgent vascular surgery consult recommended)0.20-0.34 ....Severe ischemia (Urgent vascular surgery consult recommended)<0.20 ..........Likely critical ischemia, but absolute pressure and clinical picture must be considered (Urgent vascular surgery consult recommended) TBPI:> 0.7 …………Normal > 0.7 0.64 - 0.7…..Borderline < 0.64………. Abnormal indicating arterial disease (Urgent vascular surgery consult recommended)Lower Leg Vascular Assessment RNAO recommends a 3 month complete reassessment if no evidence of healing and a 6 month reassessment for resolving and healing (but not yet healed) wounds 2,4If ulceration does not heal or show improvement after 3 months of compression and patient has an Ankle Brachial Pressure Index (ABPI) of > 0.8 to 1.3, a referral to a vascular surgeon to review potential surgical interventions is recommended Right LeftABPI:TBPI:ABPI:TBPI: ................
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