Diabetic foot other diagnostic studies: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Diabetic foot}} | {{Diabetic foot}} | ||
{{CMG}} | {{CMG}} {{AE}}{{Anahita}} | ||
==Overview== | ==Overview== | ||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
===Transcutaneous Oxygen Pressure Measurement=== | |||
*Transcutaneous [[oxygen]] [[pressure]] (TcPO2) measurement can provide data on how is the [[perfusion]] of the involved [[Limb (anatomy)|limb]], although it's accuracy is not totally accepted in presence of severe [[ischemia]] and [[edema]].<ref name="LepäntaloApelqvist2011">{{cite journal|last1=Lepäntalo|first1=M.|last2=Apelqvist|first2=J.|last3=Setacci|first3=C.|last4=Ricco|first4=J.-B.|last5=de Donato|first5=G.|last6=Becker|first6=F.|last7=Robert-Ebadi|first7=H.|last8=Cao|first8=P.|last9=Eckstein|first9=H.H.|last10=De Rango|first10=P.|last11=Diehm|first11=N.|last12=Schmidli|first12=J.|last13=Teraa|first13=M.|last14=Moll|first14=F.L.|last15=Dick|first15=F.|last16=Davies|first16=A.H.|title=Chapter V: Diabetic Foot|journal=European Journal of Vascular and Endovascular Surgery|volume=42|year=2011|pages=S60–S74|issn=10785884|doi=10.1016/S1078-5884(11)60012-9}}</ref><ref name="pmid17296318">{{cite journal| author=Faglia E, Clerici G, Caminiti M, Quarantiello A, Curci V, Morabito A| title=Predictive values of transcutaneous oxygen tension for above-the-ankle amputation in diabetic patients with critical limb ischemia. | journal=Eur J Vasc Endovasc Surg | year= 2007 | volume= 33 | issue= 6 | pages= 731-6 | pmid=17296318 | doi=10.1016/j.ejvs.2006.12.027 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17296318 }} </ref><ref name="pmid8598670">{{cite journal| author=Padberg FT, Back TL, Thompson PN, Hobson RW| title=Transcutaneous oxygen (TcPO2) estimates probability of healing in the ischemic extremity. | journal=J Surg Res | year= 1996 | volume= 60 | issue= 2 | pages= 365-9 | pmid=8598670 | doi=10.1006/jsre.1996.0059 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8598670 }} </ref> | |||
*Transcutaneous [[oxygen]] [[pressure]] (TcPO2) measures less than 30 mmHg represent the necessity of a complete [[treatment]], due to very low chance of a spontaneous [[wound healing]]. | |||
*Transcutaneous [[oxygen]] [[pressure]] (TcPO2) measures higher than 40 mmHg is indicative of a spontaneous [[wound healing]] and [[treatment|conservative treatment]] is recommended solely, due to high rate of spontaneous [[wound healing]] in these [[patients]] (more than 90%). | |||
==References== | ==References== | ||
Revision as of 16:07, 2 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Other Diagnostic Studies
Transcutaneous Oxygen Pressure Measurement
- Transcutaneous oxygen pressure (TcPO2) measurement can provide data on how is the perfusion of the involved limb, although it's accuracy is not totally accepted in presence of severe ischemia and edema.[1][2][3]
- Transcutaneous oxygen pressure (TcPO2) measures less than 30 mmHg represent the necessity of a complete treatment, due to very low chance of a spontaneous wound healing.
- Transcutaneous oxygen pressure (TcPO2) measures higher than 40 mmHg is indicative of a spontaneous wound healing and conservative treatment is recommended solely, due to high rate of spontaneous wound healing in these patients (more than 90%).
References
- ↑ Lepäntalo, M.; Apelqvist, J.; Setacci, C.; Ricco, J.-B.; de Donato, G.; Becker, F.; Robert-Ebadi, H.; Cao, P.; Eckstein, H.H.; De Rango, P.; Diehm, N.; Schmidli, J.; Teraa, M.; Moll, F.L.; Dick, F.; Davies, A.H. (2011). "Chapter V: Diabetic Foot". European Journal of Vascular and Endovascular Surgery. 42: S60–S74. doi:10.1016/S1078-5884(11)60012-9. ISSN 1078-5884.
- ↑ Faglia E, Clerici G, Caminiti M, Quarantiello A, Curci V, Morabito A (2007). "Predictive values of transcutaneous oxygen tension for above-the-ankle amputation in diabetic patients with critical limb ischemia". Eur J Vasc Endovasc Surg. 33 (6): 731–6. doi:10.1016/j.ejvs.2006.12.027. PMID 17296318.
- ↑ Padberg FT, Back TL, Thompson PN, Hobson RW (1996). "Transcutaneous oxygen (TcPO2) estimates probability of healing in the ischemic extremity". J Surg Res. 60 (2): 365–9. doi:10.1006/jsre.1996.0059. PMID 8598670.