PMID- 31387360 OWN - NLM STAT- MEDLINE DCOM- 20200218 LR - 20200218 IS - 1940-1574 (Electronic) IS - 0003-3197 (Print) IS - 0003-3197 (Linking) VI - 71 IP - 3 DP - 2020 Mar TI - Applicability of Transcutaneous Oxygen Tension Measurement in the Assessment of Chronic Limb-Threatening Ischemia. PG - 208-216 LID - 10.1177/0003319719866958 [doi] AB - Transcutaneous oxygen tension measurement (TcPO(2)) is widely applied for the evaluation of chronic limb-threatening ischemia (CLTI). Nevertheless, studies that focused on the clinical value of TcPO(2) have shown varying results. We identified factors that potentially play a role in TcPO(2) measurement variation such as probe placement, probe temperature, and the use of a reference probe. In this review of the current literature, we assessed the application of these factors. A systematic search was conducted. Parameters that were assessed were probe placement, probe temperature, and mentioning and/or use of a reference probe. In total, 36 articles were eligible for analysis. In 24 (67%) studies, probes were placed on specific anatomical locations. Seven (19%) studies placed probes, regardless of the location of the ulcer, adjacent to an ischemic lesion or ulcer (perilesion). Selected temperature setting of the probe differed; in 18 (50%), a default probe temperature of 44 degrees C was selected, and in 13 (36%), a different temperature was selected. In 31 (84%) studies, the use of a reference probe was not reported. Transcutaneous oxygen tension measurement is applied diversely in patients with CLTI. Homogeneity in TcPO(2) protocols is warranted for reliable clinical application and to compare future TcPO(2) research. FAU - Leenstra, Bernard AU - Leenstra B AUID- ORCID: 0000-0002-2625-6472 AD - Department of Vascular Surgery, UMC Utrecht, CX Utrecht, the Netherlands. FAU - Wijnand, Joep AU - Wijnand J AD - Department of Vascular Surgery, UMC Utrecht, CX Utrecht, the Netherlands. FAU - Verhoeven, Bart AU - Verhoeven B AD - Department of Vascular Surgery, Jeroen Bosch Ziekenhuis, Henri Dunantstraat, GZ 's-Hertogenbosch, the Netherlands. FAU - Koning, Olivier AU - Koning O AD - Department of Vascular Surgery, Jeroen Bosch Ziekenhuis, Henri Dunantstraat, GZ 's-Hertogenbosch, the Netherlands. FAU - Teraa, Martin AU - Teraa M AD - Department of Vascular Surgery, UMC Utrecht, CX Utrecht, the Netherlands. AD - Department of Vascular Surgery, Jeroen Bosch Ziekenhuis, Henri Dunantstraat, GZ 's-Hertogenbosch, the Netherlands. AD - Department of Nephrology and Hypertension, UMC Utrecht, Heidelberglaan, CX Utrecht, the Netherlands. FAU - Verhaar, Marianne C AU - Verhaar MC AD - Department of Nephrology and Hypertension, UMC Utrecht, Heidelberglaan, CX Utrecht, the Netherlands. FAU - de Borst, Gert J AU - de Borst GJ AD - Department of Vascular Surgery, UMC Utrecht, CX Utrecht, the Netherlands. LA - eng PT - Journal Article DEP - 20190806 PL - United States TA - Angiology JT - Angiology JID - 0203706 RN - S88TT14065 (Oxygen) SB - IM MH - Blood Gas Monitoring, Transcutaneous/methods MH - Chronic Disease MH - Humans MH - Ischemia/*metabolism/physiopathology MH - Leg/*physiopathology MH - Oxygen/*metabolism MH - Peripheral Arterial Disease/metabolism/physiopathology MH - Peripheral Vascular Diseases/*metabolism/physiopathology MH - Temperature PMC - PMC6987479 OTO - NOTNLM OT - TcPO2 OT - chronic limb-threatening ischemia OT - critical limb ischemia OT - diabetes OT - diabetic foot ischemia OT - peripheral arterial disease OT - transcutaneous oximetry COIS- Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2019/08/08 06:00 MHDA- 2020/02/19 06:00 PMCR- 2020/01/29 CRDT- 2019/08/08 06:00 PHST- 2019/08/08 06:00 [pubmed] PHST- 2020/02/19 06:00 [medline] PHST- 2019/08/08 06:00 [entrez] PHST- 2020/01/29 00:00 [pmc-release] AID - 10.1177_0003319719866958 [pii] AID - 10.1177/0003319719866958 [doi] PST - ppublish SO - Angiology. 2020 Mar;71(3):208-216. doi: 10.1177/0003319719866958. Epub 2019 Aug 6.