Ankle–brachial pressure index Ankle–brachial pressure index The ankle-brachial pressure index (ABPI) or ankle-brachial index (ABI) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium). Compared to the arm, lower blood pressure in the leg suggests blocked arteries due to peripheral artery disease (PAD). The ABPI is calculated by dividing the systolic blood pressure at the ankle by the systolic blood pressure in the arm. The patient must be placed supine, without the head or any extremities dangling over the edge of the table. Measurement of ankle blood pressures in a seated position will
Cystic artery fundus of the gallbladder before descending to supply the body and neck. When a single cystic artery arises from gastroduodenal artery it forms a configuration is known as "low-lying cystic artery", as it passes inferior to the cystic duct through the cholecystoduodenal ligament, and therefore remains outside the hepatobiliary triangle. This condition has alternatively been described as an inferior cystic artery and transposition of the cystic artery and duct with a prevalence at approximately 5%. In 25% of these patients with this course there will be a secondary arterial supply to the gallbladder, with the low-lying artery acting as the