Εμφάνιση απλής εγγραφής

dc.creatorLazarides, M. K.en
dc.creatorGiannoukas, A. D.en
dc.date.accessioned2015-11-23T10:37:33Z
dc.date.available2015-11-23T10:37:33Z
dc.date.issued2007
dc.identifier10.1177/1534734607306878
dc.identifier.issn15347346
dc.identifier.urihttp://hdl.handle.net/11615/30217
dc.description.abstractThere is a need for quantitative investigations in the vascular laboratory to manage lower extremity ulcers. The majority of leg ulcers are of venous (45%-60%) or arterial origin (10%-20%). Despite the increasing complexity of new devices used in vascular surgical practice, the anklebrachial pressure index (ABPI) remains the cornerstone for the differential diagnosis of ischemic ulcers. The toe-brachial pressure index and the pole test represent attractive alternative tests especially in patients with diabetes. Color flow Doppler imaging (CFDI) is advantageous over ABPI in cases in which wounds and ulcers prevent the use of a cuff by virtue of their size or location; additionally CFDI technology can detect nonflow limiting lesions, lesions to nonaxial arteries such as the deep femoral artery, or lesions limited to a single tibial artery. Continued improvements in the accuracy of CFDI have prompted some vascular surgeons to replace contrast arteriography in distal bypass procedures. Transcutaneous partial oxygen tension measurement (TcPO2) is another noninvasive method that is reliable to select the level of amputation and recommended to determine tissue viability in critically ischemic limbs and in the management of the diabetic foot. CFDI has revolutionized the diagnostic approach to venous disorders and it is considered the gold standard for the assessment of the venous system of the lower limb, causes minimal inconvenience to patients, and is easily repeatable, but it is considered highly operator dependent. Various plethysmography techniques are of limited application in ulcer investigations, because of their difficulty to calibrate signal, unless time measurements such as the postexercise refilling time are used. © 2007 Sage Publications.en
dc.sourceInternational Journal of Lower Extremity Woundsen
dc.source.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-36348992549&partnerID=40&md5=2c5e335fa9eba54ce9996508f772d00d
dc.subjectHemodynamic measurementsen
dc.subjectIschemic ulceren
dc.subjectVenous ulceren
dc.subjectankle brachial indexen
dc.subjectarteriographyen
dc.subjectartery diseaseen
dc.subjectblood pressure measurementen
dc.subjectbypass surgeryen
dc.subjectcapillary permeabilityen
dc.subjectcardiovascular diseaseen
dc.subjectcolor ultrasound flowmetryen
dc.subjectdeep femoral arteryen
dc.subjectdeviceen
dc.subjectdiabetes mellitusen
dc.subjectdiabetic footen
dc.subjectdiagnostic accuracyen
dc.subjectdiagnostic imagingen
dc.subjectdifferential diagnosisen
dc.subjectexerciseen
dc.subjecthemodynamicsen
dc.subjecthumanen
dc.subjectimaging systemen
dc.subjectleg amputationen
dc.subjectleg phlebographyen
dc.subjectleg ulceren
dc.subjectlimb ischemiaen
dc.subjectoxygen diffusionen
dc.subjectpathogenesisen
dc.subjectphotoelectric plethysmographyen
dc.subjectplethysmographyen
dc.subjectpriority journalen
dc.subjectquantitative analysisen
dc.subjectreliabilityen
dc.subjectreperfusion injuryen
dc.subjectreviewen
dc.subjectskin ulceren
dc.subjectsurgeonen
dc.subjectsurgical techniqueen
dc.subjecttibial arteryen
dc.subjecttoe brachial pressure indexen
dc.subjecttranscutaneous oxygen monitoringen
dc.subjecttreadmill exerciseen
dc.subjectulceren
dc.subjectvascular surgeryen
dc.subjectvein diseaseen
dc.subjectvein insufficiencyen
dc.subjectvenous circulationen
dc.subjectvenous pressureen
dc.subjectwounden
dc.subjectBlood Gas Monitoring, Transcutaneousen
dc.subjectBrachial Arteryen
dc.subjectDiabetic Angiopathiesen
dc.subjectHumansen
dc.subjectIschemiaen
dc.subjectLegen
dc.subjectPulseen
dc.subjectRegional Blood Flowen
dc.subjectUltrasonography, Doppler, Coloren
dc.subjectVaricose Ulceren
dc.titleThe role of hemodynamic measurements in the management of venous and ischemic ulcersen
dc.typejournalArticleen


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