Publication Type:

Journal Article


International Journal of Diabetes in Developing Countries, Volume 30, Number 4, p.179-184 (2010)



Diabetic microangiopathy largely affects the infrapopliteal vessels. Extensive infrapopliteal calcification and occlusions, without the presence of collaterals, are common in diabetic patients. When the diabetic patient presents with a nonhealing ulcer, the investigation of first choice should be duplex ultrasound. Ultrasound is not only safe and noninvasive, it also serves to guide further patient management. In a subset of patient in whom intervention is planned, catheter angiogram is the best choice; if the patient has diabetic nephropathy, MR angiogram is an alternative. Multidetector computed tomography angiogram is not a preferred modality in the diabetic patient because there is likely to be extensive calcification in infrapopliteal vessels.


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Cite this Research Publication

Da Lingegowda, Moorthy, Sb, Sreekumar, Kb, and Kannan, Rb, “Imaging in diabetic ischemic foot”, International Journal of Diabetes in Developing Countries, vol. 30, pp. 179-184, 2010.