Contemporary assessment of foot perfusion in patients with critical limb ischemia
Contemporary assessment of foot perfusion in patients with critical limb ischemia
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DOI：
10.1053/j.semvascsurg.2014.12.001
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发表时间：
2014-03-01
影响因子：
2.5
通讯作者：
Sumpio, Bauer E.
中科院分区：
文献类型：
--
作者：
Benitez, Erik;Sumpio, Brandon J.;Sumpio, Bauer E.
过去 20 年来，外周动脉疾病和严重肢体缺血患者的保肢工作取得了重大进展。患者治疗效果的改善得益于对疾病过程的了解和理解的增加，以及改进血运重建技术和加强开放手术和血管内手术后患者护理的努力。无创、快速且安全的成像方式将成为临床医生在规划干预措施时评估下肢灌注的有用工具。当前和新兴的区域灌注成像方式包括经皮氧监测、高光谱成像、吲哚菁绿染料荧光血管造影、核诊断成像和激光多普勒。这些测试致力于描绘局部足部灌注，以指导患有严重肢体缺血和足部溃疡的患者的定向血运重建治疗。 (C) 2014 Elsevier Inc. 保留所有权利。
Significant progress in limb salvage for patients with peripheral arterial disease and critical limb ischemia has occurred in the past 2 decades. Improved patient outcomes have resulted from increased knowledge and understanding of the disease processes, as well as efforts to improve revascularization techniques and enhance patient care after open and endovascular procedures. An imaging modality that is noninvasive, fast, and safe would be a useful tool for clinicians in assessing lower-extremity perfusion when planning interventions. Among the current and emerging regional perfusion imaging modalities are transcutaneous oxygen monitoring, hyperspectral imaging, indocyanine green dye-based fluorescent angiography, nuclear diagnostic imaging, and laser Doppler. These tests endeavor to delineate regional foot perfusion to guide directed revascularization therapy in patients with critical limb ischemia and foot ulceration. (C) 2014 Elsevier Inc. All rights reserved.