Real-time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeter
In the present study, we have introduced a novel real-time, near-infrared spectroscopy oximeter, the TOE-20 (Astem, Co, Ltd, Kawasaki, Japan), which can simultaneously measure the regional tissue oxygen saturation (rSO2) in the skin and subcutaneous tissue at three angiosomes of the foot. Seven pati...
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Format: | Article |
Language: | English |
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Elsevier
2022-06-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428721001295 |
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author | Naoki Unno, MD, PhD Kazunori Inuzuka, MD, PhD Masaki Sano, MD, PhD Masatsugu Niwayama, PhD Ena Naruse, CVT Hiroya Takeuchi, MD, PhD |
author_facet | Naoki Unno, MD, PhD Kazunori Inuzuka, MD, PhD Masaki Sano, MD, PhD Masatsugu Niwayama, PhD Ena Naruse, CVT Hiroya Takeuchi, MD, PhD |
author_sort | Naoki Unno, MD, PhD |
collection | DOAJ |
description | In the present study, we have introduced a novel real-time, near-infrared spectroscopy oximeter, the TOE-20 (Astem, Co, Ltd, Kawasaki, Japan), which can simultaneously measure the regional tissue oxygen saturation (rSO2) in the skin and subcutaneous tissue at three angiosomes of the foot. Seven patients with chronic limb threatening ischemia who had undergone successful revascularization of the superficial femoral artery were included. The analysis revealed a significant correlation between the rSO2 and skin perfusion pressure. After revascularization, the rSO2 and skin perfusion pressure had both increased at the three regions, although the increase at the plantar foot was insignificant. These results indicate that the TOE-20 can be successfully used to monitor the rSO2 during endovascular treatment. |
first_indexed | 2024-04-12T13:01:29Z |
format | Article |
id | doaj.art-3c5b140a215f415fa6720f47bceb4a2a |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-04-12T13:01:29Z |
publishDate | 2022-06-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj.art-3c5b140a215f415fa6720f47bceb4a2a2022-12-22T03:32:09ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-06-0182158163Real-time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeterNaoki Unno, MD, PhD0Kazunori Inuzuka, MD, PhD1Masaki Sano, MD, PhD2Masatsugu Niwayama, PhD3Ena Naruse, CVT4Hiroya Takeuchi, MD, PhD5Division of Vascular Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan; Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan; Division of Vascular Surgery, Hamamatsu Medical Center, Hamamatsu, Japan; Correspondence: Naoki Unno, MD, PhD, Division of Vascular Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, JapanDivision of Vascular Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan; Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, JapanDivision of Vascular Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan; Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, JapanDepartment of Electrical and Electronic Engineering, Shizuoka University, Hamamatsu, JapanDivision of Vascular Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan; Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, JapanSecond Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, JapanIn the present study, we have introduced a novel real-time, near-infrared spectroscopy oximeter, the TOE-20 (Astem, Co, Ltd, Kawasaki, Japan), which can simultaneously measure the regional tissue oxygen saturation (rSO2) in the skin and subcutaneous tissue at three angiosomes of the foot. Seven patients with chronic limb threatening ischemia who had undergone successful revascularization of the superficial femoral artery were included. The analysis revealed a significant correlation between the rSO2 and skin perfusion pressure. After revascularization, the rSO2 and skin perfusion pressure had both increased at the three regions, although the increase at the plantar foot was insignificant. These results indicate that the TOE-20 can be successfully used to monitor the rSO2 during endovascular treatment.http://www.sciencedirect.com/science/article/pii/S2468428721001295Chronic limb-threatening ischemiaEndovascular treatmentFoot ulcerNear-infrared spectroscopic oximeterRegional oxygen saturation monitoring |
spellingShingle | Naoki Unno, MD, PhD Kazunori Inuzuka, MD, PhD Masaki Sano, MD, PhD Masatsugu Niwayama, PhD Ena Naruse, CVT Hiroya Takeuchi, MD, PhD Real-time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeter Journal of Vascular Surgery Cases and Innovative Techniques Chronic limb-threatening ischemia Endovascular treatment Foot ulcer Near-infrared spectroscopic oximeter Regional oxygen saturation monitoring |
title | Real-time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeter |
title_full | Real-time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeter |
title_fullStr | Real-time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeter |
title_full_unstemmed | Real-time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeter |
title_short | Real-time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeter |
title_sort | real time assessment of tissue oxygen saturation during endovascular therapy for chronic limb threatening ischemia using a novel oximeter |
topic | Chronic limb-threatening ischemia Endovascular treatment Foot ulcer Near-infrared spectroscopic oximeter Regional oxygen saturation monitoring |
url | http://www.sciencedirect.com/science/article/pii/S2468428721001295 |
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