PMID- 33778231 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210330 IS - 2468-4287 (Print) IS - 2468-4287 (Electronic) IS - 2468-4287 (Linking) VI - 7 IP - 1 DP - 2021 Mar TI - Fluorescent angiography used as a tool to guide angiosome-directed endovascular therapy for diabetic foot ulcers. PG - 159-163 LID - 10.1016/j.jvscit.2020.10.014 [doi] AB - Angiosome-directed endovascular therapy for the treatment of chronic limb-threatening ischemia (CLTI) remains controversial owing to the overlap of wound angiosomes. Angiographic grading of success has limitations and translesional pressure assessments are seldom performed in the infrapopliteal vessels. Objective criteria to determine revascularization success in tibiopedal vessels have not been well described. Quantifying perfusion to a wound bed after establishing direct or indirect (via collateral) flow after revascularization is an important component for treating CLTI patients yet is seldom performed. We report the use of fluorescent angiography to quantitatively examine perfusion of a diabetic foot ulcer before and after angiosome-directed endovascular therapy. CI - (c) 2020 The Author(s). FAU - Dworak, Marshall AU - Dworak M AD - Department of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa. AD - Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Fla. AD - Department of Critical Care Medicine, Mayo Clinic Health System, La Crosse, Wisc. FAU - Andraska, Elizabeth A AU - Andraska EA AD - Department of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa. FAU - Gharacholou, S Michael AU - Gharacholou SM AD - Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Fla. FAU - Myers, Melissa AU - Myers M AD - Department of Critical Care Medicine, Mayo Clinic Health System, La Crosse, Wisc. FAU - Chapman, Scott C AU - Chapman SC AD - Department of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa. LA - eng PT - Case Reports DEP - 20201027 PL - United States TA - J Vasc Surg Cases Innov Tech JT - Journal of vascular surgery cases and innovative techniques JID - 101701125 PMC - PMC7985478 OTO - NOTNLM OT - Angiosome-directed endovascular therapy OT - Fluorescent angiography EDAT- 2021/03/30 06:00 MHDA- 2021/03/30 06:01 PMCR- 2020/10/27 CRDT- 2021/03/29 06:40 PHST- 2020/07/30 00:00 [received] PHST- 2020/10/19 00:00 [accepted] PHST- 2021/03/29 06:40 [entrez] PHST- 2021/03/30 06:00 [pubmed] PHST- 2021/03/30 06:01 [medline] PHST- 2020/10/27 00:00 [pmc-release] AID - S2468-4287(20)30189-1 [pii] AID - 10.1016/j.jvscit.2020.10.014 [doi] PST - epublish SO - J Vasc Surg Cases Innov Tech. 2020 Oct 27;7(1):159-163. doi: 10.1016/j.jvscit.2020.10.014. eCollection 2021 Mar.