AHA Scientific Statement Measurement and Interpretation of the Ankle-Brachial Index A Scientific Statement From the American Heart Association

By V. Aboyans, M. Criqui, P. Abraham, M. Allison, M. Creager, C. Diehm, F. G. Fowkes, W. Hiatt, B. Jönsson, P. Lacroix and 6 more. 2012

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Medial vascular calcification revisited: review and perspectives. (2014, methodology): “Nevertheless, despite limitations ABI remains the most important screening tool to suggest the presence of both, PAD and MMS.(106)”
Global vascular guidelines on the management of chronic limb-threatening ischemia (2019, background): “In such patients, TP and toe-brachial index (TBI) or other hemodynamic measurements, as described next, should always be obtained.(251) TP and TBI.”
Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication. (2015, methodology): “9 is indicative of a hemodynamically significant arterial obstruction.(38) Other more specific criteria include a drop of 30 mm Hg or 20% of the baseline ABI with exercise, and a delayed (>3 minutes) recovery.”
2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease (2016, methodology): “TcPO2 and SPP can be used in angiosome-targeted assessment for revascularization.119 IIa B-NR In patients with PAD with an abnormal ABI (≤0.90) or with noncompressible arteries (ABI >1.40 and TBI ≤0.70) in the setting of nonhealing wounds or gangrene, TBI with waveforms, TcPO2, or SPP can be useful ”