The use of transcutaneous oxygen tension measurements in the diagnosis of peripheral vascular insufficiency.

Abstract:

:Transcutaneous tissue oxygen tension (PtcO2) was evaluated as a noninvasive diagnostic test for peripheral arterial insufficiency; PtcO2 was measured at rest, during exercise, and following exercise at three leg sites in 36 controls and 138 patients with exercise-induced leg pain. Resting foot PtcO2 differed significantly in controls and in patients with rest pain (32/138) and was 60.1 +/- 6.82 mmHg and 3.66 +/- 3.68 mmHg, respectively (p less than 0.001). Abnormal resting PtcO2 values occurred in 80% of claudicants (85/138) and 20% had normal values. However, all vascular claudicants exhibited a decline in PtcO2 following exercise, a finding that distinguished them from controls (p less than 0.001). The PtcO2 values in 21 patients who were subsequently shown not to have vascular disease did not differ significantly from controls (p greater than 0.5). Comparison with angiograms (48) showed that PtcO2 following exercise had a 100% sensitivity and specificity in detecting the presence of arterial disease. If resting values alone are considered, sensitivity falls to 77%. This study demonstrates that measurement of PtcO2 at rest and particularly after exercise is a simple and sensitive noninvasive diagnostic test for peripheral arterial insufficiency. This test will serve to distinguish between vascular and other causes of exercise-induced leg pain.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Byrne P,Provan JL,Ameli FM,Jones DP

doi

10.1097/00000658-198408000-00007

subject

Has Abstract

pub_date

1984-08-01 00:00:00

pages

159-65

issue

2

eissn

0003-4932

issn

1528-1140

journal_volume

200

pub_type

杂志文章
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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000658-199408000-00009

    authors: Robertson CS,Chung SC,Woods SD,Griffin SM,Raimes SA,Lau JT,Li AK

    更新日期:1994-08-01 00:00:00

  • Trainee Involvement in Ivor Lewis Esophagectomy Does Not Negatively Impact Outcomes.

    abstract:OBJECTIVE:The aim of the present study was to determine whether trainee involvement in esophageal cancer resection is associated with adverse patient outcomes. BACKGROUND:Operative experience for surgical trainees is under threat. A number of factors have been implicated in this leading to fewer hours for training. Es...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002047

    authors: Phillips AW,Dent B,Navidi M,Immanuel A,Griffin SM

    更新日期:2018-01-01 00:00:00

  • Carotid endarterectomy in the community hospital in patients age 80 and older.

    abstract:OBJECTIVE:To determine whether the rates of death and complications of carotid endarterectomy (CE) were different in the octogenarian population than in patients younger than age 80. SUMMARY BACKGROUND DATA:The utility of CE depends on the ability of the surgeon and hospital to attain low rates of death and complicati...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200006000-00001

    authors: Maxwell JG,Taylor AJ,Maxwell BG,Brinker CC,Covington DL,Tinsley E Jr

    更新日期:2000-06-01 00:00:00

  • Alpha Fetoprotein: An index of progression or regression of hepatoma, and a target for immunotherapy.

    abstract::CLINICAL AND LABORATORY STUDIES OF AFP PRODUCING HEPATOMAS DEMONSTRATED THAT: 1) serum AFP levels correlated directly with tumor growth; 2) circulating AFP could be cleared by passive administration of an. excess of anti-AFP; and 3) highly specific anti-AFP functioned as a carrier to localize diagnostic and possibly t...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197410000-00025

    authors: Parks LC,Baer AN,Pollack M,Williams GM

    更新日期:1974-10-01 00:00:00

  • Laparoscopic liver resections: a feasibility study in 30 patients.

    abstract:OBJECTIVE:To assess the feasibility and safety of laparoscopic liver resections. SUMMARY BACKGROUND DATA:The use of the laparoscopic approach for liver resections has remained limited for technical reasons. Progress in laparoscopic procedures and the development of dedicated technology have made it possible to conside...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200012000-00004

    authors: Cherqui D,Husson E,Hammoud R,Malassagne B,Stéphan F,Bensaid S,Rotman N,Fagniez PL

    更新日期:2000-12-01 00:00:00

  • Cumulative Metformin Use and Its Impact on Survival in Gastric Cancer Patients After Gastrectomy.

    abstract:OBJECTIVE:The aim of this study was to evaluate the association between metformin and survival of gastric cancer (GC) patients. BACKGROUND:Metformin has recently received attention as a potential anticancer treatment. However, no study has shown the survival benefit of metformin for GC patients. METHODS:A total of 19...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001086

    authors: Lee CK,Jung M,Jung I,Heo SJ,Jeong YH,An JY,Kim HI,Cheong JH,Hyung WJ,Noh SH,Kim HS,Rha SY,Chung HC

    更新日期:2016-01-01 00:00:00

  • Increased cardiac endocrine activity after common bile duct ligation in the rabbit. Atrial endocrine cells in obstructive jaundice.

    abstract:OBJECTIVE:This study investigated the pathogenesis of water and sodium metabolism derangements in obstructive jaundice. SUMMARY BACKGROUND DATA:Obstructive jaundice is associated with hypodipsia, depletion of extracellular water, alterations of the water and sodium regulating hormones, and an increased incidence of re...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199401000-00012

    authors: Pereira JA,Torregrosa MA,Martínez-Ródenas F,Clària J,Pallarés L,Gubern JM,Ruano-Gil D,Sitges-Serra A

    更新日期:1994-01-01 00:00:00

  • Tumor Size, Histology, and Survival after Stereotactic Ablative Radiotherapy and Sublobar Resection in Node-negative Non-small Cell Lung Cancer.

    abstract:BACKGROUND:While stereotactic ablative radiotherapy (SABR) is increasingly emerging as an alternative to surgery for node-negative non-small cell lung cancer (NSCLC), there is poor understanding of patients who may most benefit SABR compared to surgery. OBJECTIVE:This study examined the relationship between tumor size...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004730

    authors: Raman V,Jawitz OK,Cerullo M,Voigt SL,Rhodin KE,Yang CJ,D'Amico TA,Harpole DH,Kelsey CR,Tong BC

    更新日期:2021-01-07 00:00:00

  • The role of vascular laboratory criteria in the selection of patients for lower extremity amputation.

    abstract::We evaluated clinical and vascular laboratory data on 126 patients with below-knee or forefoot amputation. Vascular laboratory examination included Doppler systolic blood pressure and arterial wave form analysis using the segmental plethysmograph. Fifty-four patients had below-knee amputation. A calf systolic pressure...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198204000-00014

    authors: Nicholas GG,Myers JL,DeMuth WE Jr

    更新日期:1982-04-01 00:00:00

  • Institutional and individual learning curves for focused abdominal ultrasound for trauma: cumulative sum analysis.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200005000-00009

    authors: McCarter FD,Luchette FA,Molloy M,Hurst JM,Davis K Jr,Johannigman JA,Frame SB,Fischer JE

    更新日期:2000-05-01 00:00:00

  • Local and Visiting Physician Perspectives on Short Term Surgical Missions in Guatemala: A Qualitative Study.

    abstract:OBJECTIVE:To explore the impact of short-term surgical missions (STMs) on medical practice in Guatemala as perceived by Guatemalan and foreign physicians. SUMMARY BACKGROUND DATA:STMs send physicians from high-income countries to low and middle-income countries to address unmet surgical needs. Although participation a...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003292

    authors: Coughran AJ,Merrell SB,Pineda C,Sceats LA,Yang GP,Morris AM

    更新日期:2019-04-18 00:00:00

  • National Trends in Readmission Following Inpatient Surgery in the Hospital Readmissions Reduction Program Era.

    abstract:OBJECTIVE:The aim of this study was to investigate whether the Hospital Readmissions Reduction Program, a national program that introduced financial penalties for high readmission rates for certain medical conditions, had a "spillover" effect on surgical conditions. SUMMARY BACKGROUND DATA:During the past decade, ther...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002350

    authors: Mehtsun WT,Papanicolas I,Zheng J,Orav EJ,Lillemoe KD,Jha AK

    更新日期:2018-04-01 00:00:00

  • Decreased surgical risks of pancreas transplantation in the modern era.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200002000-00017

    authors: Humar A,Kandaswamy R,Granger D,Gruessner RW,Gruessner AC,Sutherland DE

    更新日期:2000-02-01 00:00:00

  • Intermittent Pneumatic Compression in Addition to Standard Prophylaxis of Postoperative Venous Thromboembolism in Extremely High-risk Patients (IPC SUPER): A Randomized Controlled Trial.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004556

    authors: Lobastov K,Sautina E,Alencheva E,Bargandzhiya A,Schastlivtsev I,Barinov V,Laberko L,Rodoman G,Boyarintsev V

    更新日期:2020-11-12 00:00:00

  • Improving the AJCC/TNM staging for adenocarcinomas of the appendix: the prognostic impact of histological grade.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e318269d680

    authors: Overman MJ,Fournier K,Hu CY,Eng C,Taggart M,Royal R,Mansfield P,Chang GJ

    更新日期:2013-06-01 00:00:00

  • Effectiveness of steroid/antibiotic treatment in primates administered LD100 Escherichia coli.

    abstract::Early aggressive therapy with maintenance infusions of methylprednisolone sodium succinate and gentamicin sulfate significantly increases the probability for survival of baboons given LD100 Escherichia coli. The present study was designed to determine if baboons would recover when initiation of treatment was delayed u...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198107000-00009

    authors: Hinshaw LB,Beller-Todd BK,Archer LT,Benjamin B,Flournoy DJ,Passey R,Wilson MF

    更新日期:1981-07-01 00:00:00

  • The influence of mechanical bowel preparation in elective lower colorectal surgery.

    abstract:OBJECTIVE:This study evaluates the effects of mechanical bowel preparation (MBP) on anastomosis below the peritoneal verge and questions the influence of MBP on anastomotic leakage in combination with a diverting ileostomy in lower colorectal surgery. SUMMARY BACKGROUND DATA:In a previous large multicenter randomized ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181c0e75c

    authors: Van't Sant HP,Weidema WF,Hop WC,Oostvogel HJ,Contant CM

    更新日期:2010-01-01 00:00:00

  • Reconsideration of postoperative oral intake tolerance after pancreaticoduodenectomy: prospective consecutive analysis of delayed gastric emptying according to the ISGPS definition and the amount of dietary intake.

    abstract:OBJECTIVE:A prospective consecutive study was planned to evaluate the postpancreaticoduodenectomy (PD) oral intake tolerance. The occurrence of delayed gastric emptying (DGE), as defined by the International Study Group of Pancreatic Surgery (ISGPS), and the amount of dietary intake were analyzed. The risk factors for ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181a63c4c

    authors: Akizuki E,Kimura Y,Nobuoka T,Imamura M,Nagayama M,Sonoda T,Hirata K

    更新日期:2009-06-01 00:00:00

  • Acute Kidney Injury in Burn Patients: Clinically Significant Over the Initial Hospitalization and 1 Year After Injury: An Original Retrospective Cohort Study.

    abstract:OBJECTIVE:To examine the development of acute kidney injury (AKI) after burn injury as an independent risk factor for increased morbidity and mortality over initial hospitalization and 1-year follow-up. BACKGROUND:Variability in fluid resuscitation and difficulty recognizing early sepsis are major barriers to preventi...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001979

    authors: Thalji SZ,Kothari AN,Kuo PC,Mosier MJ

    更新日期:2017-08-01 00:00:00

  • Prolonged partial venoarterial bypass: physiologic, biochemical, and hematologic responses.

    abstract::Prolonged veno arterial extracorporeal bypass (50-80% of cardiac output) was evaluated in normal, unanesthetized sheep. The evaluation protocol included serial measurements of hemodynamics, pulmonary and renal function, serum enzymes to detect organ damage, and detailed studies of coagulation and platelets. Blood expo...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197412000-00010

    authors: Bartlett RH,Fong SW,Burns NE,Gazzaniga AB

    更新日期:1974-12-01 00:00:00

  • Hemodynamic consequences of femoral arteriovenous bovine shunts.

    abstract::Seventeen patients with femoral arteriovenous bovine shunts (FAVBS) were evaluated to delineate the cardiovascular consequences of the procedure. The resting cardiac index (CI), as estimated by echocardiography, was increased in 8 patients (47%). Twelve of the 17 patients (71%) had more than a 20% reduction in CI afte...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197607000-00017

    authors: Fee HJ Jr,Levisman JA,Dickmeyer JP,Golding AL

    更新日期:1976-07-01 00:00:00

  • The prevalence and prognostic value of BRAF mutation in thyroid cancer.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e318148563d

    authors: Kebebew E,Weng J,Bauer J,Ranvier G,Clark OH,Duh QY,Shibru D,Bastian B,Griffin A

    更新日期:2007-09-01 00:00:00

  • Experience with a modified Witzel gastrostomy without gastropexy.

    abstract::The records of 161 adult patients who underwent a modification of the Witzel gastrostomy without gastropexy at Ellis Fischel State Cancer Hospital, Columbia, Missouri, between 1977 and 1980, are reviewed in detail and form the basis of this report. Six of these patients had gastrostomies on two different occasions. Th...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198206000-00003

    authors: Johnston WD,Lopez MJ,Kraybill WG,Bricker EM

    更新日期:1982-06-01 00:00:00

  • Very long-term objective evaluation of heller myotomy plus posterior partial fundoplication in patients with achalasia of the cardia.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e318159d7dd

    authors: Ortiz A,de Haro LF,Parrilla P,Lage A,Perez D,Munitiz V,Ruiz D,Molina J

    更新日期:2008-02-01 00:00:00

  • International Multicenter Study on the Impact of Extracapsular Lymph Node Involvement in Primary Surgery Adenocarcinoma of the Esophagus on Overall Survival and Staging Systems.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/SLA.0000000000001463

    authors: Nafteux PR,Lerut AM,Moons J,Hölscher AH,Bollschweiler E,van Berge Henegouwen MI,Lagarde SM,van Lanschot JJ,Messager M,Mariette C,D'Journo XB,Thomas PA,De Leyn PR

    更新日期:2015-11-01 00:00:00

  • Combined preoperative mechanical bowel preparation with oral antibiotics significantly reduces surgical site infection, anastomotic leak, and ileus after colorectal surgery.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001416

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    更新日期:2015-09-01 00:00:00

  • Multiple cytokines are required to induce hepatocyte nitric oxide production and inhibit total protein synthesis.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199010000-00009

    authors: Curran RD,Billiar TR,Stuehr DJ,Ochoa JB,Harbrecht BG,Flint SG,Simmons RL

    更新日期:1990-10-01 00:00:00

  • Effect of Esophageal Cancer Surgeon Volume on Management and Mortality From Emergency Upper Gastrointestinal Conditions: Population-based Cohort Study.

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002387

    authors: Markar SR,Mackenzie H,Askari A,Faiz O,Hanna GB

    更新日期:2017-11-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-200105000-00005

    authors: Doherty GM,Boucher L,Sorenson K,Lowney J

    更新日期:2001-05-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-199205000-00005

    authors: Gomes MN,Choyke PL,Wallace RB

    更新日期:1992-05-01 00:00:00