Reference value of transcutaneous oxygen measurement in diabetic patients compared with nondiabetic patients.

Abstract:

PURPOSE:This study evaluated the values of transcutaneous oxygen tension (TcPo(2)) measurement in diabetic patients compared with nondiabetic patients and assessed its reproducibility. METHODS:In 60 diabetic patients (type 1 and type 2 diabetes mellitus) without signs of peripheral arterial disease or neuropathy, we measured TcPo(2) at the chest and foot and compared these measurements with 60 age- and sex-matched nondiabetic patients in a cross-sectional fashion. The reproducibility of TcPo(2) in terms of interobserver variability was also assessed. RESULTS:Diabetic patients had a mean +/- SD TcPo(2) value at the foot of 50.02 +/- 8.92 mm Hg, which was significantly lower compared with 56.04 +/- 8.80 mm Hg in nondiabetic patients (P < .001). At the chest wall, values for TcPo(2) were 51.77 +/- 11.15 mm Hg, and 58.22 +/- 12.47 mm Hg for diabetic patients and nondiabetic patients, respectively (P = .003). Regression analysis showed that TcPo(2)was significantly associated with diabetes mellitus (coefficient = -0.258; P = .004), and with having a first-degree relative with diabetes mellitus (coefficient = -0.265; P = .003). Furthermore, the interobserver variability showed a substantial correlation for both measurements at the chest (P < .001; r = 0.654; intraclass correlation coefficient [ICC] = 0.79) and at the dorsum of the foot (P < .001; r = 0.426; ICC = 0.60). CONCLUSION:Diabetic patients without signs of peripheral disease or neuropathy had significantly lower TcPo(2) values compared with age- and sex-matched nondiabetic patients. The influence of the examiner on the variance in TcPo(2) measurements was relatively small. We advocate the use of TcPo(2) measurement in diabetic patients to detect subclinical microvascular impairment as an additional tool to assess peripheral vascular disease.

journal_name

J Vasc Surg

authors

de Meijer VE,Van't Sant HP,Spronk S,Kusters FJ,den Hoed PT

doi

10.1016/j.jvs.2008.03.010

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

382-8

issue

2

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(08)00421-7

journal_volume

48

pub_type

杂志文章
  • Endovascular vs open repair of acute abdominal aortic aneurysms--a systematic review and meta-analysis.

    abstract:OBJECTIVE:To compare the results of emergency open repair of acute (ruptured or symptomatic intact) abdominal aortic aneurysms with that of endovascular repair. METHODS:A systematic literature search was performed to identify series that reported comparative outcomes. PubMed, Embase, the randomized controlled trial (R...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jvs.2007.11.028

    authors: Sadat U,Boyle JR,Walsh SR,Tang T,Varty K,Hayes PD

    更新日期:2008-07-01 00:00:00

  • Superficial femoral artery access for endovascular aortic repair.

    abstract:OBJECTIVE:The majority of endovascular aneurysm repair procedures are performed through the common femoral artery (CFA). Arterial access is gained by surgical cutdown or percutaneous approach. The surgical approach has a relatively high local complication rate. We describe superficial femoral artery (SFA) access as an ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2019.07.081

    authors: Avraham E,Natour M,Obaid W,Karmeli R

    更新日期:2020-05-01 00:00:00

  • Mortality and reintervention following elective abdominal aortic aneurysm repair.

    abstract:BACKGROUND:The objective of this study is to provide an up-to-date meta-analysis on the short- and long-term mortality rates of elective repair of abdominal aortic aneurysms (AAAs) via the open and endovascular approaches. METHODS:MEDLINE, EMBASE, and Cochrane Central Register of Controlled trials, conference proceedi...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jvs.2013.02.013

    authors: Qadura M,Pervaiz F,Harlock JA,Al-Azzoni A,Farrokhyar F,Kahnamoui K,Szalay DA,Rapanos T

    更新日期:2013-06-01 00:00:00

  • Total Viabahn endoprosthesis collapse.

    abstract::We present a case of Viabahn (W. L. Gore & Associates, Flagstaff, Ariz) collapse during popliteal artery aneurysm treatment. An elderly man with severe comorbidities presented with a 34-mm popliteal artery aneurysm. Proximal and distal landing sites of 11 and 9 mm, respectively, demonstrated by preoperative computed t...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2007.08.024

    authors: Ranson ME,Adelman MA,Cayne NS,Maldonado TS,Muhs BE

    更新日期:2008-02-01 00:00:00

  • An evaluation of new methods of expressing aortic aneurysm size: relationship to rupture.

    abstract::The diameter of aortic aneurysms were standardized to measures of patient size and normal aortic size in an effort to define indexes that might be more predictive of aneurysm rupture than raw aneurysm diameter alone. Normal aortic diameters were measured in 100 patients undergoing abdominal CT scans for other reasons,...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1992.32982

    authors: Ouriel K,Green RM,Donayre C,Shortell CK,Elliott J,DeWeese JA

    更新日期:1992-01-01 00:00:00

  • A census-based analysis of racial disparities in lower extremity amputation rates in Northern Illinois, 1987-2004.

    abstract:BACKGROUND:Given improvements in care for peripheral vascular disease and diabetes over the last two decades, it was of interest whether racial disparities in lower extremity amputation rates had changed. METHODS:Hospital data for 18 years (1987-2004) were used to compute above, below, and through foot amputation rate...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jvs.2007.11.072

    authors: Feinglass J,Abadin S,Thompson J,Pearce WH

    更新日期:2008-05-01 00:00:00

  • Identification of factors predictive of lower extremity vein graft thrombosis.

    abstract:OBJECTIVE:The objective of this study was to assess the prognostic value of hemodynamic parameters measured with duplex ultrasound scan, together with other important graft and patient characteristics, in predicting lower extremity vein graft thrombosis. METHODS:A total of 165 lower extremity vein grafts were entered ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2001.112214

    authors: Gibson KD,Caps MT,Gillen D,Bergelin RO,Primozich J,Strandness DE Jr

    更新日期:2001-01-01 00:00:00

  • C-reactive protein and red cell aggregation correlate with late venous function after acute deep venous thrombosis.

    abstract:OBJECTIVE:Risk factors leading to development and subsequent progression of chronic venous insufficiency after acute deep venous thrombosis (DVT) are only partially identified. Inflammation and rheologic abnormalities might have a causative role. The purpose of this study was to investigate C-reactive protein (CRP), D ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2004.07.004

    authors: Krieger E,van Der Loo B,Amann-Vesti BR,Rousson V,Koppensteiner R

    更新日期:2004-10-01 00:00:00

  • Prediction of 30-day mortality after endovascular repair or open surgery in patients with ruptured abdominal aortic aneurysms.

    abstract:OBJECTIVE:To validate the Glasgow Aneurysm Score (GAS) in patients with ruptured abdominal aortic aneurysms (AAAs) treated with endovascular repair or open surgery and to update the GAS so that it predicts 30-day mortality for patients with ruptured AAA treated with endovascular repair or open surgery. METHODS:In a mu...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jvs.2008.12.027

    authors: Visser JJ,Williams M,Kievit J,Bosch JL,4-A Study Group.

    更新日期:2009-05-01 00:00:00

  • Benign superior vena cava syndrome: stenting is now the first line of treatment.

    abstract:BACKGROUND:Endovascular repair (EVR) is emerging as first-line treatment for patients with superior vena cava (SVC) syndrome of benign etiology, but data on its durability remain scarce. The aims of this study were to assess the efficacy and durability of EVR and compare results of EVR with open surgical reconstruction...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2007.09.071

    authors: Rizvi AZ,Kalra M,Bjarnason H,Bower TC,Schleck C,Gloviczki P

    更新日期:2008-02-01 00:00:00

  • Ultrasound determination of total arterial wall thickness.

    abstract:PURPOSE:Ultrasonic measurement techniques for determining intima-media thickness and total arterial wall thickness have been described. The intima-media thickness measurements are currently in use in large epidemiologic trials. Intima-media thickness does not evaluate extramedial atherosclerotic change and so may not f...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(94)70051-6

    authors: Hodges TC,Detmer PR,Dawson DL,Bergelin RO,Beach KW,Hatsukami TS,Zierler BK,Isaacson JA,Strandness DE Jr

    更新日期:1994-04-01 00:00:00

  • Contemporary outcomes of endovascular interventions for acute limb ischemia.

    abstract:OBJECTIVE:Thrombolysis as a treatment for acute limb ischemia (ALI) has become a first-line therapy based on studies published over 2 decades ago. The purpose of this study was to assess outcomes of patients treated for ALI using contemporary thrombolytic agents and endovascular techniques. METHODS:Consecutive patient...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2013.10.054

    authors: Byrne RM,Taha AG,Avgerinos E,Marone LK,Makaroun MS,Chaer RA

    更新日期:2014-04-01 00:00:00

  • Training with simulation improves residents' endovascular procedure skills.

    abstract:BACKGROUND:Endovascular procedure simulators are now commercially available and in use for physician training. The purpose of this study was to evaluate the role of simulation-based training in vascular surgery residencies. METHODS:Residents from vascular surgery programs in a five-state area were invited to participa...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2006.09.003

    authors: Dawson DL,Meyer J,Lee ES,Pevec WC

    更新日期:2007-01-01 00:00:00

  • Metformin stimulates ischemia-induced revascularization through an eNOS dependent pathway in the ischemic hindlimb mice model.

    abstract:OBJECTIVE:As first-line treatment for type 2 diabetes, metformin has gained a strong position. In addition, type 2 diabetics benefit from the fact that metformin is associated with a reduction in cardiovascular events. Nevertheless, there is a dearth of information concerning the functional role of metformin in regulat...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2013.09.061

    authors: Takahashi N,Shibata R,Ouchi N,Sugimoto M,Murohara T,Komori K

    更新日期:2015-02-01 00:00:00

  • Supraclavicular reoperation for neurogenic thoracic outlet syndrome.

    abstract::Thirty-nine reoperations in 38 patients with recurrent symptoms of neurogenic thoracic outlet syndrome were performed by the supraclavicular approach. Scarring around the brachial plexus was the primary cause in 59% of procedure, whereas in 41% of reoperations residual osseous and soft tissue anomalies were identified...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(94)70027-3

    authors: Cheng SW,Stoney RJ

    更新日期:1994-04-01 00:00:00

  • Characteristics of the applicant pool to vascular surgery residency programs.

    abstract:OBJECTIVE:Based on the significant number of unfilled vascular fellowship positions in the 2004 National Residency Matching Program (NRMP) and the perception of program directors that the quality of candidates is deteriorating, the Issues Committee of the Association of Program Directors in Vascular Surgery (APDVS) exp...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2005.05.011

    authors: Eidt JF,Chaikof E,Sidawy AN,Issues Committee of the Association of Program Directors in Vascular Surgery.

    更新日期:2005-09-01 00:00:00

  • Basic information for microcomputer data base management.

    abstract::Paper-based information systems are cumbersome and inefficient. The microcomputer is an attractive, affordable, and powerful alternative to traditional paper-based record keeping. This article reviews fundamentals of data base management and microcomputer technology for the surgeon interested in microcomputer-based in...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1984.avs0010585

    authors: Gordon RD

    更新日期:1984-07-01 00:00:00

  • Experience with the sandwich technique in endovascular thoracoabdominal aortic aneurysm repair.

    abstract:BACKGROUND:The sandwich technique is an endovascular off-the-shelf solution for patients with thoracoabdominal aortic aneurysms (TAAAs). In a sandwich configuration, the chimney stent runs in the middle of a space created by two or three aortic endografts. METHODS:All patients with TAAAs who were treated with the sand...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2013.12.044

    authors: Schwierz E,Kolvenbach RR,Yoshida R,Yoshida W,Alpaslan A,Karmeli R

    更新日期:2014-06-01 00:00:00

  • Application of a homemade stent graft to the pulmonary arteries in a patient with total cavopulmonary connection.

    abstract::Despite increasing popularity in the use of stent grafts to treat aortic diseases, stent grafts are used for pulmonary arterial lesions less frequently. In particular, to our knowledge no report has described stent graft implantation into the pulmonary arteries in patients with total cavopulmonary connection (Fontan o...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2009.12.043

    authors: Adachi I,Kuratani T,Shirakawa Y,Ueno T,Matsumiya G,Sawa Y

    更新日期:2010-05-01 00:00:00

  • Mechanism of venous valve closure and role of the valve in circulation: a new concept.

    abstract:PURPOSE:The purpose of this study was to investigate the blood flow changes and venous wall movements that occur in the perivalvular area during venous flow, to learn how these physiologic events influence the movements of the valve cusps, and to learn how the movements of the valve cusps influence the venous flow. MA...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(03)00711-0

    authors: Lurie F,Kistner RL,Eklof B,Kessler D

    更新日期:2003-11-01 00:00:00

  • Results of the ROADSTER multicenter trial of transcarotid stenting with dynamic flow reversal.

    abstract:OBJECTIVE:This report presents the 30-day results of the Safety and Efficacy Study for Reverse Flow Used During Carotid Artery Stenting Procedure (ROADSTER) multicenter trial and evaluates the safety and efficacy of ENROUTE Transcarotid NPS (Silk Road Medical Inc, Sunnyvale, Calif), a novel transcarotid neuroprotection...

    journal_title:Journal of vascular surgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.jvs.2015.04.460

    authors: Kwolek CJ,Jaff MR,Leal JI,Hopkins LN,Shah RM,Hanover TM,Macdonald S,Cambria RP

    更新日期:2015-11-01 00:00:00

  • Objective measurement of lower extremity function and quality of life after surgical revascularization for critical lower extremity ischemia.

    abstract:BACKGROUND:Outcomes of revascularization for critical limb ischemia (CLI) have historically been patency, limb salvage, and survival. Functional status and quality of life have not been well described. This study used functional and quality of life assessments to measure patient-centered outcomes after revascularizatio...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2014.01.067

    authors: Landry GJ,Esmonde NO,Lewis JR,Azarbal AF,Liem TK,Mitchell EL,Moneta GL

    更新日期:2014-07-01 00:00:00

  • Stenting of chronically obstructed inferior vena cava filters.

    abstract:OBJECTIVES:A protective inferior vena cava (IVC) filter may later be incorporated into a chronic postthrombotic ilio-caval obstruction (occlusive, requiring recanalization, or nonocclusive). This study aims to assess the safety and stent-related outcome following stenting across an obstructed filter. METHODS:From 1997...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2010.11.117

    authors: Neglén P,Oglesbee M,Olivier J,Raju S

    更新日期:2011-07-01 00:00:00

  • Compound polyglactin 910/polypropylene small vessel prostheses.

    abstract::This study evaluated morphologic and functional characteristics of tissue reactions to compound prostheses of 69% absorbable polyglactin 910 (PG910) and 31% nonabsorbable polypropylene in the rabbit. Forty-two woven PG910/polypropylene prostheses (24 X 4 mm internal diameter) implanted into rabbit infrarenal aortas we...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1987.avs0050572

    authors: Greisler HP,Kim DU,Dennis JW,Klosak JJ,Widerborg KA,Endean ED,Raymond RM,Ellinger J

    更新日期:1987-04-01 00:00:00

  • Remodeling of aortic aneurysm and aortic neck on follow-up after endovascular repair with suprarenal fixation.

    abstract:OBJECTIVE:The objective of this study was to evaluate the remodeling of abdominal aortic aneurysms after endovascular aortic aneurysm repair (EVAR) with the Zenith (Cook Medical, Bloomington, Ind) device. METHODS:This was a retrospective study of anatomic data related to characteristics of the aortic neck diameter, il...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2014.06.104

    authors: Tsilimparis N,Dayama A,Ricotta JJ 2nd

    更新日期:2015-01-01 00:00:00

  • Renal failure after embolization of a prosthetic mitral valve disc and review of systemic disc embolization.

    abstract::Embolization of discs from various prosthetic mitral valves produces fulminant cardiac failure with possible survival after emergent mitral valve prosthetic replacement. The embolized discs lodge in the aorta at various levels parallel to the blood stream and have not occluded distal flow. Some embolized discs have be...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Schwarcz TH,Coffin LH,Pilcher DB

    更新日期:1985-09-01 00:00:00

  • Surgical resection of a large recurrent pelvic arteriovenous malformation using deep hypothermic circulatory arrest.

    abstract::Transcatheter embolization has emerged as the treatment of choice for pelvic arteriovenous malformations (AVMs), because surgical resection may be difficult and is associated with a high recurrence rate. We report a patient with a large recurrent pelvic AVM in whom transcatheter embolization was not feasible. This pat...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2004.02.004

    authors: McCready RA,Fehrenbacher JW,Divelbiss JL,Bryant A,Savader S

    更新日期:2004-06-01 00:00:00

  • Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair.

    abstract:PURPOSE:Most endografts for an endoluminal AAA repair cannot achieve an adequate hemostatic seal in ectatic common iliac arteries larger than 14 mm. The extension of the endograft into the external iliac artery can alleviate this problem but requires sacrifice of the internal iliac artery. We have used the larger diame...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.2001.111659

    authors: Karch LA,Hodgson KJ,Mattos MA,Bohannon WT,Ramsey DE,McLafferty RB

    更新日期:2001-02-01 00:00:00

  • Spinal cord blood supply in patients with thoracoabdominal aortic aneurysms.

    abstract:OBJECTIVE:In patients with thoracoabdominal aortic aneurysms (TAAAs), the blood supply to the spinal cord is highly variable and unpredictable because of obstructed intercostal and lumbar arteries. This study was performed for the prospective documentation of patent segmental arteries during TAAA repair and the assessm...

    journal_title:Journal of vascular surgery

    pub_type: 临床试验,杂志文章

    doi:10.1067/mva.2002.120041

    authors: Jacobs MJ,de Mol BA,Elenbaas T,Mess WH,Kalkman CJ,Schurink GW,Mochtar B

    更新日期:2002-01-01 00:00:00

  • Population-based analysis of inpatient vascular procedures and predicting future workload and implications for training.

    abstract:OBJECTIVE:The purpose of this study was to analyze the trend in inpatient vascular procedures in the United States over the past decade and predict the future demand for vascular surgeons. METHODS:The Healthcare Cost and Utilization Project Nationwide Inpatient Sample was queried to determine the weighted national est...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2011.11.061

    authors: Jim J,Owens PL,Sanchez LA,Rubin BG

    更新日期:2012-05-01 00:00:00