Is estimation of laser Doppler skin perfusion pressure appropriate during hemodialysis enforcement?

10.5580/be5 ◽  
2009 ◽  
Vol 6 (2) ◽  

1992 ◽  
Vol 15 (5) ◽  
pp. 0823-0830 ◽  
Author(s):  
Donald Kirt Silver ◽  
Leopoldo Kirt Malvezzi ◽  
John J. Castronuovo ◽  
Lawrence C. Swayne ◽  
David C. Cone


2004 ◽  
Vol 27 (4) ◽  
pp. 414-416 ◽  
Author(s):  
T Kanetaka ◽  
T Komiyama ◽  
A Onozuka ◽  
T Miyata ◽  
H Shigematsu


1992 ◽  
Vol 15 (5) ◽  
pp. 823-830 ◽  
Author(s):  
Leopoldo Malvezzi ◽  
John J. Castronuovo ◽  
Lawrence C. Swayne ◽  
David Cone ◽  
Jessie Z. Trivino


2021 ◽  
pp. 112972982199398
Author(s):  
Miju Bae ◽  
Sung Woon Chung ◽  
Chung Won Lee ◽  
Up Huh ◽  
Moran Jin ◽  
...  

Background: Access-related hand ischemia (ARHI) is a major complication of arteriovenous fistula (AVF). This study aimed to assess the predictive efficacy of skin perfusion pressure (SPP) measurement for ARHI by examining the relationship between SPP and ARHI development and progression after AVF surgery. Methods: Twenty-five patients (16 men and 9 women) who underwent AVF surgery based on the brachial artery between January 2018 and December 2018 were included. The pre- and postoperative SPP values were measured on the day of surgery. ARHI occurrence and severity were measured within 3 days and at 6 months after surgery. Receiver operating characteristic curve analysis was used to evaluate the prediction model of ARHI, and the cutoff points for the calculated coefficients were determined. Results: There was a significant correlation between the occurrence of immediate ARHI and the SPP gradient ( p = 0.024). An SPP gradient value >50 mmHg had sensitivity and specificity values of 53.85% and 91.67%, respectively, in predicting the occurrence of immediate ARHI. A postoperative SPP <48 mmHg was significantly correlated with the occurrence of 6-month ARHI ( p = 0.005), with sensitivity and specificity values of 71.43% and 83.33%, respectively. Conclusion: The SPP gradient and postoperative SPP values may be effective clinical predictors of ARHI occurring immediately and 6 months after surgery, respectively, with high specificity. These findings could allow clinicians to diagnose and begin early interventions to help prevent ischemic tissue damage in hemodialysis patients following AVF surgery.



Author(s):  
Kate Smidt ◽  
Jan Abrahamsen ◽  
Niels H. Krarup ◽  
Thomas Jakobsen


1980 ◽  
Vol 4 (2) ◽  
pp. 81-86 ◽  
Author(s):  
P. Holstein

Healing of the stumps in 59 above-knee amputations was correlated with the local skin perfusion pressure (SPP) measured pre-operatively as the external pressure required to stop isotope washout using 131I-- or 125I--anti-pyrine mixed with histamine. Out of the 11 cases with an SPP below 30 mmHg no fewer than 9 (82 per cent) suffered wound complications. Out of the 48 cases with an SPP above 30 mmHg severe wound complications occurred in only 4 cases (8 per cent). The difference in wound complication rate is highly significant (P<0.01). It is concluded that the SPP can be used to predict ischaemic wound complications in above-knee amputations as has previously been shown to be the case in below-knee amputations.



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