| Title: |
Maximal Systolic Acceleration and Near-Infrared Fluorescence Imaging With Indocyanine Green as Predictors for Successful Lower Extremity Revascularization |
| Authors: |
Kruiswijk, Mo W.; Willems, Siem A.; Koning, Stefan; Tange, Floris P.; J.W.M. Brouwers, Jeroen; Peul, Roderick C.; van Schaik, Jan; Schepers, Abbey; Hamming, Jaap; van der Bogt, Koen E.A.; van Rijswijk, Carla S.P.; Vahrmeijer, Alexander L.; van den Hoven, Pim; van der Vorst, Joost R. |
| Contributors: |
Health~Holland |
| Source: |
Journal of Endovascular Therapy ; volume 33, issue 2, page 659-668 ; ISSN 1526-6028 1545-1550 |
| Publisher Information: |
SAGE Publications |
| Publication Year: |
2024 |
| Description: |
Background: Patients with lower extremity arterial disease (LEAD) frequently require revascularization procedures. Currently used diagnostic methods are insufficient in predicting successful outcomes and focus on macrovascular rather than microvascular state. Several promising modalities to increase diagnostic accuracy are emerging, including maximal systolic acceleration (ACC max ), measured by duplex ultrasound (DUS). For the assessment of tissue perfusion, near-infrared fluorescence (NIR) imaging using indocyanine green (ICG) demonstrates promising results. This study aims to identify the usefulness of combining these two methods for macrovascular and microvascular perfusion assessment to predict successful clinical outcomes. Methods: A retrospective study was performed collecting preinterventional and postinterventional DUS and ICG NIR fluorescence imaging measurements from LEAD patients undergoing revascularization. The correlation between the preinterventional and postinterventional perfusion parameters, described as the delta (Δ) ACC max and ΔICG NIR fluorescence parameters, were analyzed. Improvements in perfusion parameters were compared to clinical outcomes, defined as improvement in pain-free walking distance, freedom from rest pain, or tendency toward wound and ulcer healing. Results: A total of 38 patients (42 limbs) were included. ACC max and ICG NIR fluorescence perfusion parameters improved significantly after revascularization (p |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1177/15266028241274568 |
| Availability: |
https://doi.org/10.1177/15266028241274568; https://journals.sagepub.com/doi/pdf/10.1177/15266028241274568; https://journals.sagepub.com/doi/full-xml/10.1177/15266028241274568 |
| Rights: |
https://creativecommons.org/licenses/by-nc/4.0/ ; https://journals.sagepub.com/page/policies/text-and-data-mining-license |
| Accession Number: |
edsbas.159C9F38 |
| Database: |
BASE |