Lightguide Spectrophotometry for the Assessment of Skin Healing Viability in Critical Limb Ischaemia
Techniques in vascular surgery and medicine have advanced considerably over the last decade. Whereas, in the past, critical ischaemia of the lower limb frequently resulted in amputation, nowadays, even lower limbs subject to occlusion of distal arteries can frequently be salvaged (Shah et al, 1992). Nonetheless, currently, of about 5000 patient visits per year to our Vascular Laboratory, some 100 of those patients with critical limb ischaemia (CLI) ultimately still need to undergo an amputation. Whether a below knee amputation is viable or not is currently predicted in our laboratory by means of skin blood flow measurements made at the site of the proposed skin flap (McCollum et al, 1985).
KeywordsSkin Flap Critical Limb Ischaemia Skin Blood Flow Capillary Blood Flow Critical Ischaemia
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