Influence of peripheral arterial disease on capillary pressure in the foot Jurgen C de Graaff, MD, PhD, Dirk Th Ubbink, MD, PhD, Joost A van der Spruit,

Slides:

Advertisements

Similar presentations

Detection of Abdominal Aortic Aneurysm in Patients with Peripheral Artery Disease A. Barba, L. Estallo, L. Rodríguez, M. Baquer, M. Vega de Céniga European.

Advertisements

T Kanetaka, T Komiyama, A Onozuka, T Miyata, H Shigematsu

Effect of cilostazol on walking distances in patients with intermittent claudication caused by peripheral vascular disease Samuel R. Money, MD, J.Alan.

Multicenter randomized clinical trial of supervised exercise therapy with or without feedback versus walking advice for intermittent claudication Saskia.

Hypertensive extracorporeal limb perfusion (HELP): A new technique for managing critical lower limb ischemia Rodney J. Lane, MD, Mark Phillips, PhD,

Integrity of venoarteriolar reflex determines level of microvascular skin flow enhancement with intermittent pneumatic compression Marc Husmann, MD,

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

Postthrombotic or non-postthrombotic severe venous insufficiency: Impact of removal of superficial venous reflux with or without subcutaneous fasciotomy

Peter H. Lin, MD, Marius Saines, MD

Mortality and complications after aortic bifurcated bypass procedures for chronic aortoiliac occlusive disease Kim Bredahl, MD, PhD, Leif Panduro Jensen,

Deep axial reflux, an important contributor to skin changes or ulcer in chronic venous disease Gudmundur Danielsson, MD, PhD, Bo Eklof, MD, PhD, Andrew.

Walter J. Scott, M.D., Bruce L. Gewertz, M.D.

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

Open bypass and endovascular procedures among diabetic foot ulcer cases in the United States from 2001 to 2010 Grant H. Skrepnek, PhD, David G. Armstrong,

Does air plethysmography correlate with duplex scanning in patients with chronic venous insufficiency? Paul S. van Bemmelen, MD, PhD, Mark A. Mattos,

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

Effect of β-blockers on peripheral skin microcirculation in hypertension and peripheral vascular disease Dirk Th Ubbink, MD, PhD, Emma E Verhaar, MD,

Transcranial Doppler ultrasonography of the basilar artery in patients with retrograde vertebral artery flow Carl Harper, ScB, Paul A. Cardullo, RN,

Bernhard Partsch, MD, Hugo Partsch, MD Journal of Vascular Surgery

Definition of venous reflux in lower-extremity veins

Strategies to prevent neurologic deficit based on motor-evoked potentials in type I and II thoracoabdominal aortic aneurysm repair Michael J.H.M. Jacobs,

New insights into the physiologic basis for intermittent pneumatic limb compression as a therapeutic strategy for peripheral artery disease Ryan D. Sheldon,

Long-term safety of cilostazol in patients with peripheral artery disease: The CASTLE study (Cilostazol: A Study in Long-term Effects) William R. Hiatt,

Effect of cilostazol on walking distances in patients with intermittent claudication caused by peripheral vascular disease Samuel R. Money, MD, J.Alan.

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

Ankle-Brachial Index Measurement With an Automated Oscillometric Blood Pressure Cuff: Bringing the Ankle-Brachial Index Back to the Bedside Laurence.

Hemodynamic evaluation of foot venous compression devices

Collateral artery from arteriovenous malformation of the rectum in a patient with peripheral artery disease Hirotomo Uchiyama, MD, Reiji Hattori, MD,

Protecting the brain and spinal cord

Evaluation of toe pressure and transcutaneous oxygen measurements in management of chronic critical leg ischemia: a diagnostic randomized clinical trial

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

Three cases of dorsal metatarsal artery bypass in patients with Buerger disease Akio Kodama, MD, PhD, Noriko Takahashi, MD, PhD, Masayuki Sugimoto, MD,

Piet Borgdorff, PhD, Rogier H. van den Berg, MsC, Martijn A

Value of the duplex waveform at the common femoral artery for diagnosing obstructive aortoiliac disease Sandra Spronk, MSc, Pieter T. den Hoed, MD, PhD,

Michael L. Klyachkin, MD, Sandip Dhara, BS, Gilbert J

Long-term effects of endovascular angioplasty on orthostatic vasocutaneous autoregulation in patients with peripheral atherosclerosis Marc J. Husmann,

The association between elevated ankle systolic pressures and peripheral occlusive arterial disease in diabetic and nondiabetic subjects Victor Aboyans,

Peter H. Lin, MD, Marius Saines, MD

Quantified duplex augmentation in healthy subjects and patients with venous disease: San Diego population study Arnost Fronek, MD, PhD, Julie O. Denenberg,

Preoperative Ankle-Brachial Index Stratification for Patients With Peripheral Arterial Disease Yifei Sun, MD, Ashish Singal, PhD, Rumi Faizer, MD, Alan.

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,

Photoplethysmography in the assessment of venous insufficiency

Paul S. van Bemmelen, MD, PhD, Daniel Spivack, MD, Patrick Kelly, RVT

Anthony S. Leicht, PhD, Robert G

Nicos Labropoulos, PhD, DIC, RVT, Luis R

Presidential address: Vascular surgery—The third generation

A prospective randomized controlled study with intermittent mechanical compression of the calf in patients with claudication Joaquin de Haro, MD, Francisco.

Reply Journal of Vascular Surgery

Intermittent claudication in a professional rugby player

Foot salvage and improvement of microvascular blood flow as a result of epidural spinal cord electrical stimulation Michael J.H.M. Jacobs, MD, PhD, Paul.

Glenn P. Gardner, MD, Paul R. Cordts, MD, David L

Todd R. Vogel, MD, MPH, Robin L. Kruse, PhD

Effect of carbohydrate supplementation on walking performance in peripheral arterial disease: A preliminary physiologic study Glenn A. Barker, PhD, Simon.

Prediction of imminent amputation in patients with non-reconstructible leg ischemia by means of microcirculatory investigations Dirk Th. Ubbink, MD,

Capillary blood flow: Videodensitometry in the atherosclerotic patient

Late hemodynamic sequelae of deep venous thrombosis

Creation of a distal arteriovenous fistula improves microcirculatory hemodynamics of prosthetic graft bypass in secondary limb salvage procedures Michael.

Ted R. Kohler, M. D. , Stephen C. Nicholls, M. D. , R

Poor health-related quality of life in patients with peripheral arterial disease: Type D personality and severity of peripheral arterial disease as independent.

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

Value of the duplex waveform at the common femoral artery for diagnosing obstructive aortoiliac disease Sandra Spronk, MSc, Pieter T. den Hoed, MD, PhD,

Use of axillary artery to maintain cerebral perfusion in a patient requiring reconstruction of the brachiocephalic trunk and coronary arteries: Technical.

The value of laser Doppler velocimetry and transcutaneous oxygen tension determination in predicting healing of ischemic forefoot ulcerations and amputations.

Strategies to prevent neurologic deficit based on motor-evoked potentials in type I and II thoracoabdominal aortic aneurysm repair Michael J.H.M. Jacobs,

Toe pressure determination by audiophotoplethysmography

Chronic digitalis administration alters mesenteric vascular reactivity

Skeletal muscle ventricle aortic counterpulsation: function during chronic heart failure Bhavik G Patel, MD, Sachin H Shah, MD, Lou I Astra, MD, Robert.

Saskia P. A. Nicolaï, MD, PhD, Erik J. M. Hendriks, PhD, Martin H

Long-term results of peripheral arterial disease rehabilitation

Gabor Libertiny, FRCS, Linda Hands, MS, FRCS

Presentation transcript:

Influence of peripheral arterial disease on capillary pressure in the foot Jurgen C de Graaff, MD, PhD, Dirk Th Ubbink, MD, PhD, Joost A van der Spruit, MD, Sjoerd M Lagarde, MD, Michael J.H.M Jacobs, MD, PhD Journal of Vascular Surgery Volume 38, Issue 5, Pages 1067-1074 (November 2003) DOI: 10.1016/S0741-5214(03)00603-7

Fig 1 Experimental setup with micropipette (1), laser Doppler probe (2), thermometer (3), cuff of continuous toe blood pressure measurement (4), reference electrode (5), and capillary microscope lens (6). Journal of Vascular Surgery 2003 38, 1067-1074DOI: (10.1016/S0741-5214(03)00603-7)

Fig 2 Typical variation over time for laser Doppler flux recording, capillary blood pressure, toe blood pressure, and electrocardiogram tracing. Note for capillary blood pressure, valid measurement period is indicated by the arrow, after a period in which flow is obstructed by the pipette and disturbed by noise. Journal of Vascular Surgery 2003 38, 1067-1074DOI: (10.1016/S0741-5214(03)00603-7)

Fig 3 Typical recordings of laser Doppler perfusion, capillary blood pressure, toe blood pressure, and electrocardiogram in a healthy volunteer while sitting (A) and supine (B), and in a patient with rest pain while sitting (C) and supine (D). Journal of Vascular Surgery 2003 38, 1067-1074DOI: (10.1016/S0741-5214(03)00603-7)

Fig 4 Schema of microcirculatory regulation mechanisms of skin perfusion with change to the sitting position. Increase in orthostatic pressure with dependency activates two local vasoconstriction responses, the myogenic response and the venoarteriolar response. In the myogenic response, orthostatic rise in arteriolar transmural pressure causes smooth muscle contraction in the arteriolar wall. In the venoarteriolar response, increase in peripheral venous pressure activates stretch receptors in the venules, directly triggered by an increase in venous volume, leading to a local, retrograde axon reflex, which causes arteriolar construction.7 In (severe) arterial insufficiency these regulation mechanisms seem to maintain constant capillary pressure at the expense of capillary perfusion. Journal of Vascular Surgery 2003 38, 1067-1074DOI: (10.1016/S0741-5214(03)00603-7)

Fig 5 Systolic toe pressure and systolic capillary blood pressure in the sitting and supine positions, in healthy volunteers (squares), patients with intermittent claudication (triangles), and patients with ischemic rest pain, ulcer, or gangrene (circles). Journal of Vascular Surgery 2003 38, 1067-1074DOI: (10.1016/S0741-5214(03)00603-7)