Microangiopathy of the skin and the effect of leg compression in patients with chronic venous insufficiency Abdusalam Abu-Own, FRCS, Shukri K. Shami,

Slides:

Advertisements

Similar presentations

Endothelial cell seeding reduces thrombogenicity of Dacron grafts in humans Per Örtenwall, MD, PhD *, Hans Wadenvik, MD, PhD **, Jack Kutti, MD, PhD **,

Advertisements

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

S. Sulaiman Shoab, MD, FCPS, FRCS, J. H. Scurr, MS, FRCS, P. D

L. S. Wilkinson, PhD, C. Bunker, MD, J. C. W. Edwards, MD, J. H

John Large, F.R.C.S. (Edin.) Journal of Vascular Surgery

Superficial venous insufficiency: Correlation of anatomic extent of reflux with clinical symptoms and signs Nicos Labropoulos, BSc, Miguel Leon, MD,

Daniel J. Lindner, M. D. , James M. Edwards, M. D. , Edward S

Martorell's hypertensive ischemic leg ulcers are secondary to an increase in the local vascular resistance Henry J. Duncan, B.M., B.S., Irwin B. Faris,

Sanjeev Sarin, FRCS, John H. Scurr, FRCS, Philip D

Foot volumetry can predict recurrent ulceration after subfascial ligation of perforators and saphenous ligation A.W. Bradbury, BSc, MD, FRCSEd, C.V.

Sanjev Sarin, FRCS, David A. Shields, FRCS, John H

Abdusalam Abu-Own, FRCS, John H. Scurr, FRCS, Philip D

Improving walking ability and ankle brachial pressure indices in symptomatic peripheral vascular disease with intermittent pneumatic foot compression:

Leukocyte activation in patients with venous insufficiency

A new valvulotome for in situ bypass grafts

Effects of exercise rehabilitation on cardiovascular risk factors in older patients with peripheral arterial occlusive disease Anna Maria Izquierdo-Porrera,

The correlation between three methods of skin perfusion pressure measurement: Radionuclide washout, laser Doppler flow, and photoplethysmography Leopoldo.

Jurgen C. de Graaff, MDa, Dirk Th. Ubbink, MD, PhDa, Dink A

Effect of oral micronized purified flavonoid fraction treatment on leukocyte adhesion molecule expression in patients with chronic venous disease: A pilot.

Hemodynamic evaluation of foot venous compression devices

Malcolm O. Perry, MD, Richard Kempczinski, MD

Protecting the brain and spinal cord

Healing rates and cost efficacy of outpatient compression treatment for leg ulcers associated with venous insufficiency William A. Marston, MD, Robert.

Giovanni Mosti, MD, Maria Letizia Iabichella, MD, Hugo Partsch, MD

John J. Castronuovo, MD, Habtu M. Adera, MD, Janice M

Andrew W. Bradbury, BSc, MD, FRCSEd, Paul Bachoo, FRCS, Alan A

Hazim J. Safi, MD, Charles C

Venous photoplethysmography: Relationship between transducer position and regional distribution of venous insufficiency Stefan Rosfors, MD Journal of.

Skin perfusion pressure in the prediction of healing in diabetic patients with ulcers or gangrene of the foot I. Faris, M.D., F.R.A.C.S., H. Duncan,

Daniel J. Lindner, M. D. , James M. Edwards, M. D. , Edward S

Photoplethysmography in the assessment of venous insufficiency

Mrinal Saharay, FRCS, David A. Shields, FRCS, John B

A-M Salmasi, PhD, A. Nicolaides, MS, FRCS, FRCSE, A

T. V. How, PhD, C. S. Rowe, PhD, G. L. Gilling-Smith, MS, FRCS, P. L

Shirley J. Fearn, PhD, FRCS, Andrew J. Picton, BSc, Andrew J

Treatment of venous disease – The innovators

A. N. Nicolaides, MS, FRCS, M. K. Hussein, MD, FRCS, G. Szendro, MD, D

Recreational weight lifting and aortic dissection: Case report

Calvin B. Ernst, MD Journal of Vascular Surgery

Mesenteric blood flow in patients with diabetic neuropathy

Anthony D. Whittemore, MD, Magruder C. Donaldson, MD, John A

Predictive value of transcutaneous oxygen pressure and amputation success by use of supine and elevation measurements J.Michael Bacharach, MD, Thom W.

Cardiovascular surgery—The rocket and its stars: Presidential address

Theodore A. A. van den Broek, MD, Boudewijn J. Dwars, MD, Jan A

Renovascular operations in patients with chronic renal insufficiency: Do the benefits justify the risks? John W. Hallett, M.D., Richard Fowl, M.D., Peter.

Sanjev Sarin, FRCS, David A. Shields, FRCS, John H

Research and research funding in vascular surgery

Regarding “Venous ulcers and the superficial venous system”

J.Dennis Baker, MD Journal of Vascular Surgery

A comparison between descending phlebography and duplex Doppler investigation in the evaluation of reflux in chronic venous insufficiency: A challenge.

Hemodynamic and metabolic responses to graded microvascular occlusion

Hemodynamic basis of stasis ulceration—A hypothesis

L. S. Wilkinson, PhD, C. Bunker, MD, J. C. W. Edwards, MD, J. H

Superficial venous insufficiency: Correlation of anatomic extent of reflux with clinical symptoms and signs Nicos Labropoulos, BSc, Miguel Leon, MD,

Should patient age be a consideration in carotid endarterectomy?

The effects of endothelial injury on smooth muscle cell proliferation

Monitoring vascular surgical performance

Chronic digitalis administration alters mesenteric vascular reactivity

D. Emerick Szilagyi, MD—An appreciation

Presidential address: The second-generation vascular surgeon

George D. Lilly 1906–1988 Journal of Vascular Surgery

James A. DeWeese, MD Journal of Vascular Surgery

Fate of the contralateral leg after infrainguinal bypass

Jonathan Golledge, FRCS, Rachel Cuming, BSc, David K

Innominate artery trauma: A thirty-year experience

Popliteal entrapment syndrome: A report of tibial nerve entrapment

John Large, F.R.C.S. (Edin.) Journal of Vascular Surgery

Gabor Libertiny, FRCS, Linda Hands, MS, FRCS

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Presentation transcript:

Microangiopathy of the skin and the effect of leg compression in patients with chronic venous insufficiency Abdusalam Abu-Own, FRCS, Shukri K. Shami, FRCS, Sandra J. Chittenden, PhD, John Farrah, BSc, John H. Scurr, FRCS, Philip D. Coleridge Smith, FRCS Journal of Vascular Surgery Volume 19, Issue 6, Pages 1074-1083 (June 1994) DOI: 10.1016/S0741-5214(94)70220-9 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Diagrammatic representation of experimental model: Laser Doppler probe, installed in polyethylene chamber, is applied to supramalleolar region underneath blood pressure cuff. Inflating blood pressure cuff also inflates polyethylene chamber via Y junction. Computer data logging system records laser Doppler parameters from laser Doppler flowmeter. Journal of Vascular Surgery 1994 19, 1074-1083DOI: (10.1016/S0741-5214(94)70220-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Relationship between interface pressure sensing device and sphygmomanometer readings in 10 subjects. Pressure applied to cuff, indicated on sphygmomanometer, ranged from 10 to 100 mm Hg and was within 5 mm Hg of pressure reading indicated by interface pressure sensor. Journal of Vascular Surgery 1994 19, 1074-1083DOI: (10.1016/S0741-5214(94)70220-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 The median values of basal LDF, BCV, and CMBC in horizontal position. LDS is patients with lipodermatosclerosis; p is Mann-Whitney U Test. Journal of Vascular Surgery 1994 19, 1074-1083DOI: (10.1016/S0741-5214(94)70220-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Effect of dependency on LDF in LDS and control groups. p is Wilcoxon matched-pairs signed rank test. Journal of Vascular Surgery 1994 19, 1074-1083DOI: (10.1016/S0741-5214(94)70220-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Effect of leg compression on LDF, BCV, and CMBC in patients with LDS. Medians of LDF, BCV, and CMBC are plotted in AU. p is Wilcoxon matched-pairs signed rank test, comparing values at 20 mm Hg compression to basal values at 0 mm Hg; ns, not significant. A, Horizontal position. B, Dependent position. Journal of Vascular Surgery 1994 19, 1074-1083DOI: (10.1016/S0741-5214(94)70220-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Effect of leg compression on LDF, BCV, and CMBC in patients with LDS. Medians of LDF, BCV, and CMBC are plotted in AU. p is Wilcoxon matched-pairs signed rank test, comparing values at 20 mm Hg compression to basal values at 0 mm Hg; ns, not significant. A, Horizontal position. B, Dependent position. Journal of Vascular Surgery 1994 19, 1074-1083DOI: (10.1016/S0741-5214(94)70220-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Effect of leg compression on LDF, BCV, and CMBC in control subjects. Medians of LDF, BCV and CMBC are plotted in AU. p is Wilcoxon matched-pairs signed rank test, comparing values at 20 mm Hg compression with basal values at 0 mm Hg; ns is not significant. A, Horizontal position. B, Dependent position. Journal of Vascular Surgery 1994 19, 1074-1083DOI: (10.1016/S0741-5214(94)70220-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Effect of leg compression on LDF, BCV, and CMBC in control subjects. Medians of LDF, BCV and CMBC are plotted in AU. p is Wilcoxon matched-pairs signed rank test, comparing values at 20 mm Hg compression with basal values at 0 mm Hg; ns is not significant. A, Horizontal position. B, Dependent position. Journal of Vascular Surgery 1994 19, 1074-1083DOI: (10.1016/S0741-5214(94)70220-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions