The evaluation of contralateral foot circulation after unilateral revascularization procedures using indocyanine green angiography

被引：0
作者：
Masahiro Nakamura
Kimihiro Igari
Takahiro Toyofuku
Toshifumi Kudo
Yoshinori Inoue
Hiroyuki Uetake
机构：
[1] Department of Surgical Specialties,
[2] Graduate School of Medical and Dental Sciences,undefined
[3] Tokyo Medical and Dental University,undefined
[4] 1-5-45,undefined
[5] Yushima,undefined
[6] Bunkyo-ku,undefined
来源：
Scientific Reports | / 7卷
关键词：
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The aim of the present study is to assess the effects of unilateral revascularization on the contralateral foot circulation using indocyanine green (ICG). From January 2016 to April 2016, a total of twenty-one patients were included in this study. The patients underwent elective unilateral revascularization at our institution and we evaluated the feet circulation by indocyanine green angiography (ICGA) tests preoperatively and postoperatively. The ICGA parameters included the magnitude of intensity from the onset of ICG to the maximum intensity (Imax), the time from the onset of ICG to the maximum intensity (Tmax), and the time required to reach the half maximum intensity from the onset of ICG (T1/2). There were significant differences in the treated limb Tmax (P = 0.016) and T1/2 (P = 0.013) values and in the contralateral limb Tmax (P = 0.013), and T1/2 (P < 0.001) values on the perioperative ICGA tests. These results reflect the increase in skin perfusion in the treated limb and the decrease in skin perfusion in the contralateral limb. Unilateral revascularization decreases contralateral foot circulation. The preoperative contralateral lesion should be evaluated when revascularization is performed.
引用
收藏
相关论文
共 43 条
[1]  
de Vries SO(1998)Contralateral symptoms after unilateral intervention for peripheral occlusive disease J Vasc Surg. 27 414-21
[2]  
Donaldson MC(2006)Foot skin blood flow following infrainguinal revascularization for critical lower limb ischemia Eur J Vasc Endovasc Surg. 31 401-6
[3]  
Hunink MG(1979)Use of kinetic analysis and mathematical modeling in the study of metabolic pathways N Engl J Med. 300 1078-86
[4]  
Saucy F(2010): applications to hepatic organic anion metabolism (second of two parts) J Reconstr Microsurg. 26 487-92
[5]  
Carson ER(2009)Intraoperative laser-assisted indocyanine green angiography for the evaluation of mastectomy flaps in immediate breast reconstruction Plast Reconstr Surg. 123 1239-44
[6]  
Jones EA(2014)Early experience with fluorescent angiography in free-tissue transfer reconstruction Ann Vasc Surg. 28 1479-84
[7]  
Newman MI(2010)Indocyanine green angiography for the diagnosis of peripheral arterial disease with isolated infrapopliteal lesions Microvasc Res. 80 552-5
[8]  
Samson MC(2014)Dynamic fluorescence imaging of indocyanine green for reliable and sensitive diagnosis of peripheral vascular insufficiency Ann Vasc Surg. 28 1280-5
[9]  
Tamburrino JF(2011)Intraarterial injection of indocyanine green for evaluation of peripheral blood circulation in patients with peripheral arterial disease Diabetes res Clin Pract. 104 121-5
[10]  
Swarrtz KA(2013)Quantitative evaluation of microvascular dysfunction on peripheral neuropathy with diabetes by indocyanine green angiography Ann Vasc Surg. 27 1154-61
12345