Vascular Laboratory for Critical Limb Ischaemia

Venermo, Maarit; Vikatmaa, Pirkka; Terasaki, Hiroaki; Sugano, Norihide

doi:10.1177/145749691210100203

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…The Inter‐Society Consensus for the Management of Peripheral Arterial Disease has defined a cut‐off ABI value of ≤ 0·9 for diagnosing peripheral vascular disease at rest. In elderly or diabetic patients, falsely elevated ABI may require additional testing, such as transcutaneous oxygen measurements (< 40 mmHg considered abnormal) or toe–brachial index (< 6 considered abnormal) …”

Section: Evaluation and Helpful Diagnostic Testsmentioning

confidence: 99%

Lower‐extremity ulcers: diagnosis and management

2015

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Chronic wounds of the lower extremities are occurring with increasing prevalence. They affect millions of individuals annually, representing both a significant health risk and a large economic burden. Chronic wounds are associated with increased mortality and substantial morbidity due to infection, pain, limitation of daily activities, and psychosocial consequences. To manage these wounds effectively, clinicians must be able to diagnose and manage their aetiology. Diagnosis starts with determining whether the wound is one of the four most common chronic wounds: venous leg ulcers, diabetic foot ulcers, pressure ulcers and arterial ulcers. Moreover, despite many recent advances in wound care, the challenge of managing chronic wounds is complicated by the lack of consistently accepted diagnostic methods and wound-care standards. We present a comprehensive yet condensed approach to managing lower-extremity ulcers, from diagnosis to basic management.

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Section: Evaluation and Helpful Diagnostic Testsmentioning

confidence: 99%

Lower‐extremity ulcers: diagnosis and management

2015

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“…In this study, the parameters of Tmax, T1/2, and Td90% were useful indices to assess the clinical ischemic severity of PAD in dialysis cases. We found that parameters such as Imax related to ICG were not correlated to the ABI, whereas the parameters of time from injecting ICG, Tmax, T1/2, and Td90% were correlated to the ABI, TBI, and TP, respectively (12)(13)(14). Our previous study reported that the intensity of ICG could depend on the distance from the camera to the skin, the patient's skin color, and the ambient light in the testing room, then the intensity of ICG, including ROI: region of interest; Imax: the magnitude of intensity from indocyanine green (ICG) onset to maximum intensity; Tmax: the time from ICG onset to maximum intensity; T1/2: the time elapsed from the fluorescence onset to half the maximum intensity; Td90%: the time from maximum intensity to declining to 90% of the maximum intensity.…”

Section: Discussionmentioning

confidence: 84%

A Comparison of the Regional Circulation in the Feet between Dialysis and Non-Dialysis Patients using Indocyanine Green Angiography

et al. 2016

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“…De manera alternativa, el índice dedo-brazo puede ser mejor que el índice tobillo-brazo debido a que evalúa las arterias digitales, que muestran una probabilidad menor de estar afectadas por calcificaciones. El estudio Doppler arterial segmentario completo ofrece una valoración precisa de la afectación arterial en la extremidad inferior 12 .…”

Section: Cambios Vascularesunclassified

“…Los hallazgos en la exploración física que tienen utilidad para identificar la arteriopatía periférica avanzada son la ausencia de pulsos en los Cuando los pacientes presentan signos y síntomas asociados a infección profunda y a infección de los tejidos adyacentes a la herida se suelen considerar los tratamientos antibióticos sistémicos. W (warmth), aumento de la temperatura Incremento de la temperatura en > 1,1 °C en la zona adyacente a la herida, en comparación con la temperatura en la zona proximal E (edema), edema Edema leve a moderado R (redness), enrojecimiento Eritema > 2 cm más allá del borde de la herida pies, la piel atrófica (fina), la disminución de la temperatura cutánea, la coloración azul o púrpura de la piel, la ausencia de pelo en el miembro inferior y la prolongación del tiempo de llenado capilar 12,13 .…”

Section: Cambios Vascularesunclassified