I V Larin, I N Shchanitsyn, A S Tolstokorov, V S Arakelyan
{"title":"[Evaluation of revascularization efficiency using near-infrared oximetry in patients with diabetic foot syndrome].","authors":"I V Larin, I N Shchanitsyn, A S Tolstokorov, V S Arakelyan","doi":"10.17116/hirurgia202406120","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate prognostic significance of tissue oximetry in healing of trophic defects in patients with diabetic foot syndrome (DFS) after endovascular revascularization.</p><p><strong>Material and methods: </strong>In 42 patients with DFS, tissue oximetry was performed in angiosome projection with the FORE-SIGHT MC-2000 (CASMED) device before and the next day after revascularization of lower limb arteries. The 1st group included 30 patients with wound healing throughout 3 months, the 2nd group included 12 patients with amputation or no healing of trophic defects.</p><p><strong>Results: </strong>Direct revascularization was more common in the 1st group (<i>p</i>=0.001). On the day after intervention, oxygen saturation (StO<sub>2</sub>) increased in all angiosomes in both groups (<i>p</i><0.05). StO<sub>2</sub> increment differed significantly between groups in all angiosomes except for point I (<i>p</i><0.05). According to ROC analysis, StO<sub>2</sub> increment by 4.5% in absolute values and 7.9% in percentage leads to trophic defect healing within 3 months (sensitivity and specificity were 76.7% and 66.7% for absolute values, 80% and 58.3% for percentage, respectively).</p><p><strong>Conclusion: </strong>Evaluation of StO<sub>2</sub> in target angiosome may be valuable to predict trophic defect healing after endovascular surgery.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 6","pages":"20-27"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202406120","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To evaluate prognostic significance of tissue oximetry in healing of trophic defects in patients with diabetic foot syndrome (DFS) after endovascular revascularization.
Material and methods: In 42 patients with DFS, tissue oximetry was performed in angiosome projection with the FORE-SIGHT MC-2000 (CASMED) device before and the next day after revascularization of lower limb arteries. The 1st group included 30 patients with wound healing throughout 3 months, the 2nd group included 12 patients with amputation or no healing of trophic defects.
Results: Direct revascularization was more common in the 1st group (p=0.001). On the day after intervention, oxygen saturation (StO2) increased in all angiosomes in both groups (p<0.05). StO2 increment differed significantly between groups in all angiosomes except for point I (p<0.05). According to ROC analysis, StO2 increment by 4.5% in absolute values and 7.9% in percentage leads to trophic defect healing within 3 months (sensitivity and specificity were 76.7% and 66.7% for absolute values, 80% and 58.3% for percentage, respectively).
Conclusion: Evaluation of StO2 in target angiosome may be valuable to predict trophic defect healing after endovascular surgery.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
