|
|
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result sql = Early postoperative detection of tissue necrosis in amputation stumps with indocyanine green fluorescence angiography.
Early postoperative detection of tissue necrosis in amputation stumps with indocyanine green fluorescence angiography.char = <;code = 60
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char = o;code = 111
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char = l;code = 108
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char = n;code = 110
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char = o;code = 111
char = f;code = 102
char = ;code = 32
char = a;code = 97
char = m;code = 109
char = p;code = 112
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char = t;code = 116
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result sql = OBJECTIVE : Amputations of the lower extremity due to irreversible ischemic tissue loss are performed as distally as possible. Therefore, oftentimes wound-healing disorders develop, requiring additional surgical treatment.
METHODS : The amputations stumps of 10 patients with irreversible ischemic tissue loss due to arteriosclerosis were investigated within 72 hours postoperatively with indocyanine green (ICG) fluorescence.
RESULTS : For 6 of the investigated stumps, no perfusion deficit could be seen through fluorescence angiography. All stumps displayed primary healing. In the fluorescence angiography of 3 amputations, stump perfusions deficits predicted later tissue necrosis and had to be amputated again in a second operation. One amputation wound showed a small ICG perfusion deficit that represented a blood clot.
CONCLUSION : Indocyanine green fluorescence angiography allows a perfusion analysis of amputation stumps and therefore a prediction of the expected tissue necrosis. This tool may allow reliable prediction of amputation level.
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char = o;code = 111
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char = r;code = 114
char = a;code = 97
char = p;code = 112
char = h;code = 104
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result sql = Early postoperative detection of tissue necrosis in amputation stumps with indocyanine green fluorescence angiography.
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char = l;code = 108
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char = c;code = 99
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char = i;code = 105
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char = f;code = 102
char = ;code = 32
char = a;code = 97
char = m;code = 109
char = p;code = 112
char = u;code = 117
char = t;code = 116
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
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result sql = OBJECTIVE : Amputations of the lower extremity due to irreversible ischemic tissue loss are performed as distally as possible. Therefore, oftentimes wound-healing disorders develop, requiring additional surgical treatment.
METHODS : The amputations stumps of 10 patients with irreversible ischemic tissue loss due to arteriosclerosis were investigated within 72 hours postoperatively with indocyanine green (ICG) fluorescence.
RESULTS : For 6 of the investigated stumps, no perfusion deficit could be seen through fluorescence angiography. All stumps displayed primary healing. In the fluorescence angiography of 3 amputations, stump perfusions deficits predicted later tissue necrosis and had to be amputated again in a second operation. One amputation wound showed a small ICG perfusion deficit that represented a blood clot.
CONCLUSION : Indocyanine green fluorescence angiography allows a perfusion analysis of amputation stumps and therefore a prediction of the expected tissue necrosis. This tool may allow reliable prediction of amputation level.
Publication: Vasc Endovascular Surg 2010 May ;44(4)::269-73. :doi: 10.1177/1538574410362109.
Publication Date: 2010 May
Study Author(s): Zimmermann, Alexander;Roenneberg, Casper;Wendorff, Heiko;Holzbach, Thomas;Giunta, Riccardo E;Eckstein, Hans-Henning;
Institution: Clinic of Vascular Surgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Shortcut link to this study:
Publication Date: 2010 May
Study Author(s): Zimmermann, Alexander;Roenneberg, Casper;Wendorff, Heiko;Holzbach, Thomas;Giunta, Riccardo E;Eckstein, Hans-Henning;
Institution: Clinic of Vascular Surgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Shortcut link to this study:
OBJECTIVE : Amputations of the lower extremity due to irreversible ischemic tissue loss are performed as distally as possible. Therefore, oftentimes wound-healing disorders develop, requiring additional surgical treatment.
METHODS : The amputations stumps of 10 patients with irreversible ischemic tissue loss due to arteriosclerosis were investigated within 72 hours postoperatively with indocyanine green (ICG) fluorescence.
RESULTS : For 6 of the investigated stumps, no perfusion deficit could be seen through fluorescence angiography. All stumps displayed primary healing. In the fluorescence angiography of 3 amputations, stump perfusions deficits predicted later tissue necrosis and had to be amputated again in a second operation. One amputation wound showed a small ICG perfusion deficit that represented a blood clot.
CONCLUSION : Indocyanine green fluorescence angiography allows a perfusion analysis of amputation stumps and therefore a prediction of the expected tissue necrosis. This tool may allow reliable prediction of amputation level.
METHODS : The amputations stumps of 10 patients with irreversible ischemic tissue loss due to arteriosclerosis were investigated within 72 hours postoperatively with indocyanine green (ICG) fluorescence.
RESULTS : For 6 of the investigated stumps, no perfusion deficit could be seen through fluorescence angiography. All stumps displayed primary healing. In the fluorescence angiography of 3 amputations, stump perfusions deficits predicted later tissue necrosis and had to be amputated again in a second operation. One amputation wound showed a small ICG perfusion deficit that represented a blood clot.
CONCLUSION : Indocyanine green fluorescence angiography allows a perfusion analysis of amputation stumps and therefore a prediction of the expected tissue necrosis. This tool may allow reliable prediction of amputation level.
PMID: 20356863
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