Buergers Test/Pole Test: simple clinical tests to screen the arterial perfusion before compression therapy

Abstract

Before starting compression therapy further diagnostics of an advanced suspected peripheral arterial occlusive disease are essential. Therefore Buergers test and Pole test are validated simple clinical tests to screen the arterial perfusion.

Key words

compression therapy - contraindication - PAD - perfusion pressure

Schlüsselwörter

Kompressionstherapie - Kontraindikation - AVK - Perfusionsdruck

• References

• 1 Andriessen A, Apelqvist J, Mosti G. et al. Compression therapy for venous leg ulcers: risk factors for adverse events and complications, contraindications – a review of present guidelines. J Eur Acad Dermatol Venerol 2017; 31: 1562-1568
• 2 Buerger L. Circulatory disturbances of the extremities. Philadelphia: WB Saunders; 1924: 162-168
• 3 Insall RL, Davies RJ, Prout WG. Significance of Buerger’s test in the assessment of lower limb ischaemia. J R Soc Med 1989; 82: 729-731
• 4 Smith FC, Shearman CP, Simms MH. et al. Falsely elevated ankle pressures in severe leg ischaemia: the pole test – an alternative approach. Eur J Vasc Surg 1994; 8: 408-412
• 5 Pahlsson HI, Wahlberg E, Olofsson P. et al. The toe pole test for elevation of arterial insufficiency in diabetic patients. Eur J Vasc Endovasc Surg 1999; 18: 133-137
• 6 Jachertz G, Stappler T, Do DD. et al. The pole-pressure test: an easy alternative in patients with ischemic legs and incompressible arteries. Vasa 2000; 29: 59-61
• 7 Paraskevas N, Ayari R, Malikov S. et al. “Pole test” measurements in critical leg ischaemia. Eur J Vasc Endovasc Surg 2006; 31: 253-257