0815_Kum.pdf

1、Angiographic Foot ScoresAngiographic Bean Counting or A Useful Predictor?Steven Kum MBBS MMed FRCS FAMS CWSPVascular SurgeonMount Elizabeth Novena Hospital/Changi General HospitalSingaporeDisclosureDisclosureWithin the past 12 months,I or my spouse/partner have had a financial interest/arrangement o

2、r affiliation with the organization(s)listed below.Affiliation/Financial RelationshipCompany Research Support Boston Scientific,LimFlow/Inari Consulting Fees/Honoraria LimFlow/Inari,Acelity,Abbott Vascular,Boston Scientific,Orbus Neich,Bypass Solutions,PEDRA,Xeltis,Cagent Vascular Advisory Board Abb

3、ott,Boston Scientific,Xeltis,LimFlow/Inari,Fastwave,Corflow,VCD,Bypass Solutions,Protexa Equity LimFlow/Inari,Mercator,Cagent,PEDRA,Xeltis,Fastwave,Corflow,VCD,Bypass Solutions,Protexa,R3The Problem caused by CalciumTransmission Failure Big Artery Disease(BAD)(eg Iliac to DP,Lat Plantar)Distribution

4、 FailureSmall Artery Disease(SAD)(eg Plantar arch,metatarsal,digital)Ferraresi R,Mauri G,Losurdo F,Troisi N,Brancaccio D,Caravaggi C,Neri L.J Cardiovasc Surg(Torino).2018 Oct;59(5):655-664.doi:10.23736/S0021-9509.18.10572-6.Epub 2018 May 22 Balloon passage Recoil Dissection No Outflow ie“Desert foot

5、”Angio Foot ScoresToursarkissian B,DAyala M,Stefanidis D,Shireman PK,Harrison A,Schoolfield J,Sykes MT.Angiographic scoring of vascular occlusive disease in the diabetic foot:relevance to bypass graft patency and limb salvage.J Vasc Surg.2002 Mar;35(3):494-500.doi:10.1067/mva.2002.120046.PMID:118776

6、97.The score evaluates the dorsalis pedis,medial plantar,and lateral plantar arteries Each vessel is assigned a score based on the degree of stenosis:0:No stenosis 20%1:21%49%stenosis2:50%99%stenosis2.5:Occlusion of less than half the vessel length3:Occlusion of more than half the vessel length“In p