Non-invasive determination of dermal hemoglobin oxygenation and concentration in patients with peripheral arterial occlusive disease.

Détails

ID Serval
serval:BIB_7A2CC089C5CE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Non-invasive determination of dermal hemoglobin oxygenation and concentration in patients with peripheral arterial occlusive disease.
Périodique
VASA. Zeitschrift fur Gefasskrankheiten
Auteur(s)
Thum J., Caspary L., Creutzig A., Stappler T., Alexander K.
ISSN
0301-1526 (Print)
ISSN-L
0301-1526
Statut éditorial
Publié
Date de publication
1997
Peer-reviewed
Oui
Volume
26
Numéro
1
Pages
11-17
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
Oxygen saturation (SHB) and concentration (CHB) of dermal hemoglobin are important parameters for the supply of the skin. They may be non-invasively assessed by means of reflection photometry as hemoglobin is predominantly contributing to the skin reflection spectrum.
Dermal reflection spectra from the middle of the forefoot and from the tip of the toe of 20 healthy subjects and 61 patients suffering from peripheral arterial occlusive disease (PAOD) were recorded and compared to transcutaneous oxygen pressure (tcPO2). SHB, and tcPO2 were significantly higher in controls: compared to patients (ankle pressure (AP) > 50 mmHg) SHB in the skin of the forefoot was 63.8 vs. 54.5% (p < 0.05), CHB was 0.89 vs. 0.62 aU (p < 0.01). In the great toe SHB was 92.9 vs. 59.9% (p < 0.001), CHB was 2.21 vs. 0.92 aU (p < 0.001). Heating the skin of the forefoot to 44 degrees C yields local dermal vascular reserve capacity: SHB and CHB increased in all healthy subjects (96.4%; 1.44 aU, respectively). SHB decreased at the forefoot in 14 and at the toe in 18 of 21 patients with AP < 50 mmHg. At the toe decrease was found in 50 of 61 patients (sensitivity 82%, specificity 100%).
Local vascular reserve capacity of dermal perfusion is reduced in patients with PAOD, depending on AP. It should be determined preferably in patients with severe PAOD.
Mots-clé
Adult, Aged, Aged, 80 and over, Arterial Occlusive Diseases/blood, Arterial Occlusive Diseases/diagnosis, Blood Gas Monitoring, Transcutaneous, Female, Foot/blood supply, Humans, Male, Middle Aged, Oxygen Consumption/physiology, Oxyhemoglobins/analysis, Reference Values, Skin/blood supply, Spectrophotometry
Pubmed
Web of science
Création de la notice
31/08/2018 10:20
Dernière modification de la notice
11/09/2018 6:26
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