Kutsenko Oleksandra, Sommerset Jill, Chandra Venita, Bryce Yolanda
Department of Radiology, Miami Cardiac and Vascular Institute, Miami, Florida.
Advanced Vascular Centers, Portland, Oregon.
Semin Intervent Radiol. 2023 Jun 16;40(2):177-182. doi: 10.1055/s-0043-1768608. eCollection 2023 Apr.
It is frequently difficult to estimate the revascularization endpoint in patients with chronic limb-threatening ischemia where there may be extensive multifocal multiarterial disease. There have been attempts to identify an endpoint for revascularization procedures, but none has become the standard of care. An ideal indicator of an endpoint can objectively quantify tissue perfusion, predict wound healing, and is easily and efficiently used intraprocedurally to assist real-time decision making on whether adequate perfusion has been reached. Candidate techniques to evaluate endpoints post-revascularization are discussed here.
在患有慢性肢体威胁性缺血且可能存在广泛多灶性多动脉疾病的患者中，常常难以估计血运重建终点。人们曾尝试确定血运重建手术的终点，但尚无一种成为护理标准。理想的终点指标能够客观地量化组织灌注、预测伤口愈合，并且在手术过程中能够轻松有效地用于协助实时决策，判断是否已实现充分灌注。本文将讨论评估血运重建后终点的候选技术。
