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Article

Determination of Changes in Tissue Perfusion at Home with Hyperspectral and Thermal Imaging in the First Six Weeks after Endovascular Therapy in Patients with Peripheral Arterial Disease

by
Kirsten F. Ma
1,*,
Thomas S. Nijboer
1,
Simone F. Kleiss
1,
Mostafa El Moumni
2,
Reinoud P. H. Bokkers
3,
Richte C. L. Schuurmann
1 and
Jean-Paul P. M. de Vries
1
1
Division of Vascular Surgery, Department of Surgery, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands
2
Division of Trauma Surgery, Department of Surgery, University of Groningen, University Medical Center Groningen, 9712 CP Groningen, The Netherlands
3
Department of Radiology, Medical Imaging Center, University of Groningen, University Medical Center Groningen, 9712 CP Groningen, The Netherlands
*
Author to whom correspondence should be addressed.
Diagnostics 2022, 12(10), 2489; https://doi.org/10.3390/diagnostics12102489
Submission received: 8 September 2022 / Revised: 7 October 2022 / Accepted: 10 October 2022 / Published: 14 October 2022
(This article belongs to the Section Medical Imaging and Theranostics)
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Abstract

The aims of this study were to assess changes in tissue perfusion up to 6 weeks after endovascular therapy (EVT), in hospital and at home, and to determine differences in tissue perfusion between patients with and without clinical improvement or good angiographic result. This single-center prospective cohort study included patients undergoing EVT for Rutherford stages two to six. Hyperspectral and thermal imaging were performed at the dorsal and plantar sides of the foot. These measurements consisted of a baseline measurement pre-EVT, and six follow-up measurements obtained at 1 and 4 h and 6 weeks in hospital, and 1 day, 7 days, and 14 days at home. Clinical improvement was defined as a decrease of one or more Rutherford class or decrease in the wound surface area and a good angiographic result was accomplished when a Transatlantic Inter-Society Consensus for the Management of PAD II C or D lesion was treated and uninterrupted flow continued in at least one below-the-knee artery in continuation with the inframalleolar arteries. The study included 34 patients with 41 treated limbs. Deoxyhemoglobin values were lower 1 h post-EVT compared with baseline and increased over time up to 6 weeks post-EVT. Significant differences in deoxyhemoglobin levels at 7 and 14 days post-EVT were determined between patients with and without clinical or angiographic success. This prospective pilot study shows the feasibility of hyperspectral imaging and thermal imaging post-EVT at home, which may decrease the need for hospital visits.
Keywords: endovascular procedures; hyperspectral imaging; peripheral arterial disease; thermal imaging; tissue perfusion endovascular procedures; hyperspectral imaging; peripheral arterial disease; thermal imaging; tissue perfusion

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MDPI and ACS Style

Ma, K.F.; Nijboer, T.S.; Kleiss, S.F.; El Moumni, M.; Bokkers, R.P.H.; Schuurmann, R.C.L.; de Vries, J.-P.P.M. Determination of Changes in Tissue Perfusion at Home with Hyperspectral and Thermal Imaging in the First Six Weeks after Endovascular Therapy in Patients with Peripheral Arterial Disease. Diagnostics 2022, 12, 2489. https://doi.org/10.3390/diagnostics12102489

AMA Style

Ma KF, Nijboer TS, Kleiss SF, El Moumni M, Bokkers RPH, Schuurmann RCL, de Vries J-PPM. Determination of Changes in Tissue Perfusion at Home with Hyperspectral and Thermal Imaging in the First Six Weeks after Endovascular Therapy in Patients with Peripheral Arterial Disease. Diagnostics. 2022; 12(10):2489. https://doi.org/10.3390/diagnostics12102489

Chicago/Turabian Style

Ma, Kirsten F., Thomas S. Nijboer, Simone F. Kleiss, Mostafa El Moumni, Reinoud P. H. Bokkers, Richte C. L. Schuurmann, and Jean-Paul P. M. de Vries. 2022. "Determination of Changes in Tissue Perfusion at Home with Hyperspectral and Thermal Imaging in the First Six Weeks after Endovascular Therapy in Patients with Peripheral Arterial Disease" Diagnostics 12, no. 10: 2489. https://doi.org/10.3390/diagnostics12102489

APA Style

Ma, K. F., Nijboer, T. S., Kleiss, S. F., El Moumni, M., Bokkers, R. P. H., Schuurmann, R. C. L., & de Vries, J.-P. P. M. (2022). Determination of Changes in Tissue Perfusion at Home with Hyperspectral and Thermal Imaging in the First Six Weeks after Endovascular Therapy in Patients with Peripheral Arterial Disease. Diagnostics, 12(10), 2489. https://doi.org/10.3390/diagnostics12102489

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