重血管化的影响下肢循环参数在有症状的外周动脉疾病
Andreas L H Gerken1, Martin Sigl2, Elisa Israel1
1Department of Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, D-68167 Mannheim, Germany.
Journal of clinical medicine
|July 13, 2024
概括
微血管血流,而不是脚-手臂指数,有效地表明成功的外周再血管. 在手术后监测微循环可能会改善周围动脉疾病患者的结果.
科学领域:
- 血管外科 血管外科
- 血液动力学 血液动力学
- 微循环是一种微循环.
背景情况:
- 周围动脉疾病 (PAD) 和复血管化程序正在增加.
- 在重血管化后目前的血液动力学监测有局限性.
- 为了预测结果,需要关注微血管参数.
研究的目的:
- 调查血液动力学参数,特别是微血管功能,再血管化后.
- 评估微输液参数及其与临床结果的相关性.
- 评估非侵入性微循环监测的实用性.
主要方法:
- 对29名具有症状的PAD患者 (IC和CLTI) 的前性单中心研究.
- 使用O2C设备测量了脚-手臂指数 (ABI),微血管血流,毛细血管氧和度 (SO2) 和相对血红蛋白 (rHb).
- 在重血管化前和后在水平和升高的腿部位置进行的评估.
主要成果:
- 在慢性四肢威胁性缺血症 (CLTI) 中,基线腿部升高的SO2比间歇性 (IC) 低.
- 糖尿病患者在水平腿位置显示出更高的流量.
- 成功的再血管化显著增加了微血管流量,但不是SO2,rHb或ABI.
结论:
- 升高的腿 SO2 将CLTI与补偿的PAD区分开来.
- 微血管流量是成功重血管化的可靠指标.
- 在足部水平的非侵入性微循环监测可能有利于PAD研究.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease IV: Nursing Management
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...


