Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcers
Angiosome-directed endovascular therapy for the treatment of chronic limb-threatening ischemia (CLTI) remains controversial owing to the overlap of wound angiosomes. Angiographic grading of success has limitations and translesional pressure assessments are seldom performed in the infrapopliteal vess...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-03-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428720301891 |
| _version_ | 1818727625989816320 |
|---|---|
| author | Marshall Dworak, BS Elizabeth A. Andraska, MD S. Michael Gharacholou, MD Melissa Myers, MD Scott C. Chapman, MD |
| author_facet | Marshall Dworak, BS Elizabeth A. Andraska, MD S. Michael Gharacholou, MD Melissa Myers, MD Scott C. Chapman, MD |
| author_sort | Marshall Dworak, BS |
| collection | DOAJ |
| description | Angiosome-directed endovascular therapy for the treatment of chronic limb-threatening ischemia (CLTI) remains controversial owing to the overlap of wound angiosomes. Angiographic grading of success has limitations and translesional pressure assessments are seldom performed in the infrapopliteal vessels. Objective criteria to determine revascularization success in tibiopedal vessels have not been well described. Quantifying perfusion to a wound bed after establishing direct or indirect (via collateral) flow after revascularization is an important component for treating CLTI patients yet is seldom performed. We report the use of fluorescent angiography to quantitatively examine perfusion of a diabetic foot ulcer before and after angiosome-directed endovascular therapy. |
| first_indexed | 2024-12-17T22:17:05Z |
| format | Article |
| id | doaj.art-a7d67ee025874b7a8aa14b071a4a5678 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-17T22:17:05Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-a7d67ee025874b7a8aa14b071a4a56782022-12-21T21:30:34ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872021-03-0171159163Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcersMarshall Dworak, BS0Elizabeth A. Andraska, MD1S. Michael Gharacholou, MD2Melissa Myers, MD3Scott C. Chapman, MD4Department of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa; Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Fla; Department of Critical Care Medicine, Mayo Clinic Health System, La Crosse, WiscDepartment of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PaDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FlaDepartment of Critical Care Medicine, Mayo Clinic Health System, La Crosse, WiscDepartment of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa; Correspondence: Scott C. Chapman, MD, UPMC Heart and Vascular Institute, UPMC Presbyterian Hospital, Rm E362.4, South Tower, 200 Lothrop St, Pittsburgh, PA 15213-2582Angiosome-directed endovascular therapy for the treatment of chronic limb-threatening ischemia (CLTI) remains controversial owing to the overlap of wound angiosomes. Angiographic grading of success has limitations and translesional pressure assessments are seldom performed in the infrapopliteal vessels. Objective criteria to determine revascularization success in tibiopedal vessels have not been well described. Quantifying perfusion to a wound bed after establishing direct or indirect (via collateral) flow after revascularization is an important component for treating CLTI patients yet is seldom performed. We report the use of fluorescent angiography to quantitatively examine perfusion of a diabetic foot ulcer before and after angiosome-directed endovascular therapy.http://www.sciencedirect.com/science/article/pii/S2468428720301891Angiosome-directed endovascular therapyFluorescent angiography |
| spellingShingle | Marshall Dworak, BS Elizabeth A. Andraska, MD S. Michael Gharacholou, MD Melissa Myers, MD Scott C. Chapman, MD Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcers Journal of Vascular Surgery Cases and Innovative Techniques Angiosome-directed endovascular therapy Fluorescent angiography |
| title | Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcers |
| title_full | Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcers |
| title_fullStr | Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcers |
| title_full_unstemmed | Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcers |
| title_short | Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcers |
| title_sort | fluorescent angiography used as a tool to guide angiosome directed endovascular therapy for diabetic foot ulcers |
| topic | Angiosome-directed endovascular therapy Fluorescent angiography |
| url | http://www.sciencedirect.com/science/article/pii/S2468428720301891 |
| work_keys_str_mv | AT marshalldworakbs fluorescentangiographyusedasatooltoguideangiosomedirectedendovasculartherapyfordiabeticfootulcers AT elizabethaandraskamd fluorescentangiographyusedasatooltoguideangiosomedirectedendovasculartherapyfordiabeticfootulcers AT smichaelgharacholoumd fluorescentangiographyusedasatooltoguideangiosomedirectedendovasculartherapyfordiabeticfootulcers AT melissamyersmd fluorescentangiographyusedasatooltoguideangiosomedirectedendovasculartherapyfordiabeticfootulcers AT scottcchapmanmd fluorescentangiographyusedasatooltoguideangiosomedirectedendovasculartherapyfordiabeticfootulcers |