4-cuff with Toe Exam
4-Cuff with Toe Exam
The most comprehensive non-invasive lower extremity vascular study — four segmental pressure levels plus toe pressures, covering the full arterial tree from the aortoiliac segment to the digital vessels.
Sample Report
Head-to-Toe Arterial Assessment
For the highest-risk and most complex vascular patients, the 4-cuff with Toe exam provides complete coverage of the lower extremity arterial tree. Four segmental pressure levels localize proximal and mid-level occlusions. Toe pressures assess distal and microvascular circulation.
This is particularly valuable for diabetic patients with multi-level disease, wound care cases requiring both localization and healing potential assessment, and pre-amputation patients where the level determination affects surgical planning.
How It Works
Combines the full 4-cuff segmental protocol with simultaneous digit cuff and PPG probe measurement at the toes.
Apply 4-Level + Digit Cuffs
Four bilateral segmental cuffs placed at high thigh, low thigh, calf, and ankle. Digit cuffs and PPG probe at both great toes.
Full Bilateral Acquisition
Pressures and PVR waveforms captured at all four segmental levels. Toe pressures recorded via PPG photoplethysmography.
Complete Vascular Map
Report combines four-level pressure gradient analysis with TBI, delivering a complete picture from proximal to distal.
When to Order This Exam
Diabetic patients with multi-level disease suspected
Calcified ankle vessels plus need for segmental localization
Pre-amputation level determination in complex cases
Wound care patients requiring full arterial workup
Critical limb ischemia assessment
Post-revascularization surveillance in high-risk patients
Available On
Requires an 8-port multi-level Cuff-Link system with TBI capability.
Documents
- 4-Cuff with Toe Procedure
- Sample 4-Cuff with Toe Report — full output example
Training Videos
Questions About This Exam?
Schedule a 30-minute consultation. We'll walk through the protocol, the report output, and which system fits your workflow.