The role of transcutaneous oximetry at exercise test in the diagnosis of proximal claudication

The aim was to study the role of transcutaneous oximetry of buttock region in the diagnosis of proximal claudication. Materials and Methods. The retrospective study included 19 patients with atherosclerosis of the lower extremity arteries. The minimum absolute values of transcutaneous oxygen pressure recorded in the gluteal regions at rest, sitting and standing, during and after treadmill walking, as well as their ratios depending on the presence or absence of clinical signs of proximal claudication were subjected to comparative analysis. The predictive value of transcutaneous oxygen pressure in the diagnosis of occlusive-stenotic disease of the common and internal iliac arteries was analyzed. Results. There were no statistically significant differences in the absolute value of the transcutaneous oxygen pressure between the groups; statistically significant differences in their ratios depending on the measurement period were established. When the level of the ratio of transcutaneous oxygen pressure in the recovery period after the treadmill test to the same measured initially in the sitting position is less than or equal to 80%, the sensitivity and specificity in the diagnosis of the occlusive arterial disease are 71% and 86%, respectively. Conclusion. The transcutaneous oximetry in the buttock regions during the exercise test is a sensitive and specific indicator of the aortic, common or internal iliac artery occlusive disease in patients with suspected proximal claudication.

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