Document Detail


Dorsal pedal venous oximetry as an outcome index of lower extremity revascularizations.
MedLine Citation:
PMID:  11668367     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dorsal pedal venous blood gas analysis was performed in 24 patients with arterial occlusive disease requiring revascularizations of the lower extremities. After the reconstructive surgical procedure, measurements were repeated. It has been observed that this method is useful before surgery since it proves the severity of tissue hypoxia due to perfusion impairment of the foot. Postoperative measurements have detected the effectiveness of the vascular restorations. The results of the trial showed a mean increase in partial pressure of venous blood oxygen (PVO2) and pH of 30.3% and 13.7% (p<0.05), respectively and a mean decrease in partial pressure of arterial carbon dioxide (PCO2) of 12.9% (p<0.05) between initial and postsurgical measurements in involved legs. In the healthy, unoperated on side, there was no significant (p>0.05) change in response to arterial reconstructions. Symptoms decreased markedly in direct proportion to the increase in dorsal pedal venous PO2 induced by changes in blood flow. This method can be reliably used for assessing the treatment to ensure adequate oxygen delivery to the foot as a result of improved pedal perfusion.
Authors:
B K Ener
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Vascular surgery     Volume:  35     ISSN:  0042-2835     ISO Abbreviation:  Vasc Surg     Publication Date:    2001 Jan-Feb
Date Detail:
Created Date:  2001-10-22     Completed Date:  2001-12-04     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0103277     Medline TA:  Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  37-41     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Canakkale State Hospital, Canakkale, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Anoxia / blood,  etiology
Arterial Occlusive Diseases / blood,  complications,  surgery
Carbon Dioxide / blood
Female
Humans
Hydrogen-Ion Concentration
Leg / surgery*
Male
Middle Aged
Oximetry*
Oxygen / blood
Reconstructive Surgical Procedures*
Severity of Illness Index
Veins / surgery*
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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