Abstract
Treatment of peripheral arterial occlusive disease (PAOD) should be directed at the associated dysfunction of the target tissues. In patients with lower limb ischemia, conditions become critical when blood supply no longer meets the metabolic demands, typically of the acral skin.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bongard O, Bounameaux H (1993) Clinical investigation of skin microcirculation. Dermatology 186:6–11
Braverman IM (1989) Ultrastructure and organization of the cutaneous microvasculature in normal and pathological states. J Invest Dermatol 93:2S-9S
Braverman IM, Schechner JS (1991) Contour mapping of the cutaneous microvasculature by computerized laser Doppler velocimetry. J Invest Dermatol 97:1013–1018
Braverman IM, Yen A (1977) Ultrastructure of the human dermal microcirculation. II. The capillary loops of the dermal papillal. J Invest Dermatol 68:44–52
Castronuovo JJ Jr, Pabst TS, Flanigan DP, Foster LG (1987) Noninvasive determination of skin perfusion pressure using a laser Doppler. J Cardiovasc Surg 28:253–257
Cina C, Katsamouris A, Megerman J, Brewster DC, Strayhorn EC, Robison JG, Abbott WM (1984) Utility of transcutaneous oxygen tension measurements in peripheral arterial occlusive disease. J Vasc Surg 1:362–371
Farls I, Duncan H (1985) Skin perfusion pressure in the prediction of healing in diabetic patients with ulcers or gangrene of the foot. J Vasc Surg 2:536–540
Holstein P, Dovey H, Lassen NA (1979) Wound healing in above knee amputations in relation to skin perfusion pressure. Acta Orthop Scand 50:59–66
Holstein P, Lassen NA (1980) Healing of ulcers of the feet correlation with distal blood pressure measurements in occlusive arterial disease. Acta Orthop Scand 51:995–1006
Holstein P, Nielsen PE, Barras J-P (1979) Blood flow cessation at external pressure in the skin of normal human limbs. Microvasc Res 17:71–79
Holstein P, Nielsen PE, Lund P, Gyntelberg F, Poulsen HL (1980) Skin perfusion pressure on the legs measured as the external pressure required for skin reddening after blanching: a photoelectric technique compared to isotope washout. Scan J Clin Lab 40:535–543
Holstein P, Sager P, Lassen NA (1979) Wound healing in below knee amputations in relation to skin perfusion pressure. Acta Orthop Scand 50:49–58
Holzer P (1992) Peptidergic sensory neurons in the control of vascular functions: mechanisms and significance in the cutaneous and splanchnic vascular beds. Rev Physiol Biochem Pharmacol 121:49–146
Huch R, Huch A, Lubbers DW (1973) Transcutaneous measurement of blood pO2 (TcpO2)-method and application. J Perinat Med 1:183–191
Katsamouris A, Brewster DC, Megerman J, Cina C, Darling RC, Abbott WM (1984) Transcutaneous oxygen tension in selection of amputation level. Am J Surg 147:510–517
Kvernebo K, Megerman J, Hamilton G, Abbott WM (1989) Response of skin photo-plethysmography, laser Doppler flowmetry and transcutaneous oxygen tensiometry to stenosis-induced reductions in limb blood flow. Eur J Vasc Surg 3:113–120
Maivezzi L, Castronuovo JJ Jr, Swayne LC; Cone D, Trivino JZ (1992) The correlation between three methods of skin perfusion pressure measurement; radionuclide washout, laser Doppler flow, and photoplethysmography. J Vasc Surg 15:823–829; discuss
Nielsen PE, Poulsen HL, Gyntelberg F (1973) Arterial blood pressure in the skin measured by a photoelectric probe and external counterpressure. Vasa 2:65–74
Padberg FT Jr, Back TL, Hart LC, Franco CD (1992) Comparison of heated-probe laser Doppler and transcutaneous oxygen measurements for predicitng outcome of ischemic wounds. J Cardiovasc Surg 33:715–722
Rithalia SV (1991) Developments in transcutaneous blood gas monitoring; a review. J Med Eng Technol 15:143–153
Ryan TJ (1973) Section B. Blood vessels. In: Jarrett A (ed) The physiology and pathophysiology of the skin. Volume 2. Academic press, New York, London, pp 577–805
Scheffler A, Rieger H (1992) Clinical information content of transcutaneous oxymetry (tcpO2) in peripheral arterial occlusive disease (a review of the methodological and clinical literature with a special reference to critical limb ischaemia). Vasa 21:111–126
Sinclair D (1973) Section A. Nerves. In: Jarrett A (ed) The physiology and pathophysiology of the skin. Volume 2. Academic press, New York, London, pp 348–573
Stern MD (1975) In vivo evaluation of the microcirculation in the leg by in herent light scattering. Nature 254:56–58
Swain ID, Grant LF (1989) Methods of measuring skin blood flow. Phys Med Biol 34:151–175
Tonnesen KH (1978) Transcutaneous oxygen tension in imminent foot gangrene. Acta Anaesth Scand 68 (Suppl):107
Tur E (1991) Cutaneous blood flow. Laser Doppler velocimetry. Int J Dermatol 30:471–476
Vongsavan N, Matthews B (1993) Some aspects of the use of laser Doppler flow meters for recording tissue blood flow. Exp Physiol 78:1–14
Waiden R, Bass A, Balaciano M, Modan M, Zulty L, Adar R (1992) Laser Doppler flowmetry in lower extremity ischemia: application and interpretation. Ann Vasc Surg 6:511–516
Wilkin JK (1989) Poiseuille, periodicity and perfusion: rhythmic oscillatory vasomotion in the skin. J Invest Dermatol 93:113S-118S
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1994 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt
About this paper
Cite this paper
Blankensteijn, J.D., Abbott, W.M. (1994). Evaluation of the skin microcirculation by photoplethysmography, laser Doppler velocimetry, and transcutaneous measurements of pO2 . In: Horsch, S., Claeys, L. (eds) Spinal Cord Stimulation. Steinkopff. https://doi.org/10.1007/978-3-642-48441-4_11
Download citation
DOI: https://doi.org/10.1007/978-3-642-48441-4_11
Publisher Name: Steinkopff
Print ISBN: 978-3-642-48443-8
Online ISBN: 978-3-642-48441-4
eBook Packages: Springer Book Archive