1415_Fanelli.pdf

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1、Perfusion Assessment:All I Need to KnowFabrizio Fanelli,MD,EBIRProfessor of Interventional RadiologyDirector Vascular and Interventional Radiology DepartmentCareggi University HospitalFlorence-ItalyDisclosures Consultant/Speaker/Proctor/Advisory Board Abbott BD Bard Boston Scientific Cook iVascular

2、Medtronic Merit Penumbra Philips Volcano W.L.Gore&Associates Zylox TonbridgePAD is characterised by impaired blood flow to the extremities,caused by stenosis or occlusion of the arteriesPAD is evaluated through clinical examination,ABI/TBI,and imaging(US,CT,MRI,and DSA).These modalites provide signi

3、ficant information about the location,extent and severity of macrovascular lesionsin the arterial system of the lower extremities.They can also be used to evaluate limb perfusion using the appropriate techniques and protocols.This information may be valuable for assessing the severity of ischaemia a

4、nd detecting hypoperfused areas.Furthermore,they can be used to plan a revascularisation strategy for patients with severe peripheral arterydisease(PAD)and to evaluate therapeutic outcomes.These techniques can also help to determine prognosis and amputation risk in patients with PADMany techniques h

5、ave been introduced to enable quantification of tissue perfusion in patients with PADNo single vascular test has been identified as the most important predictor of wound healing or majoramputation for the threatened limbBackgroundTechnologies Capable of Assessing Limb Tissue Oxygenation or Perfusion

6、Misra S.et al-Circulation.2019;140:e657e672Skin perfusion and oxygen delivery is the primary determinant of whether traumatic wounds or chronicischemic ulcers will heal and whether tissue infection will resolve Current technologies only measure flow or pressure,failing to determine whether wounds ha