Evaluation of revascularization efficiency using near-infrared oximetry in patients with diabetic foot syndrome

Larin I.V.

Razumovsky Saratov State Medical University;
Regional Clinical Hospital

ORCID: 0000-0001-7979-3071

Shchanitsyn I.N.

Research Institute of Traumatology, Orthopedics and Neurosurgery — Razumovsky Saratov State Medical University

ORCID: 0000-0003-0565-5172

Tolstokorov A.S.

Razumovsky Saratov State Medical University

ORCID: 0000-0002-8541-5330

Arakelyan V.S.

Bakoulev National Medical Research Center of Cardiovascular Surgery

ORCID: 0000-0002-0284-6793

Evaluation of revascularization efficiency using near-infrared oximetry in patients with diabetic foot syndrome

Authors:

Larin I.V., Shchanitsyn I.N., Tolstokorov A.S., Arakelyan V.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(6): 20‑27

DOI: 10.17116/hirurgia202406120

Downloaded: 6

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To cite this article:

Larin IV, Shchanitsyn IN, Tolstokorov AS, Arakelyan VS. Evaluation of revascularization efficiency using near-infrared oximetry in patients with diabetic foot syndrome. Pirogov Russian Journal of Surgery. 2024;(6):20‑27. (In Russ.)
https://doi.org/10.17116/hirurgia202406120

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To evaluate prognostic significance of tissue oximetry in healing of trophic defects in patients with diabetic foot syndrome (DFS) after endovascular revascularization.

MATERIAL AND METHODS

In 42 patients with DFS, tissue oximetry was performed in angiosome projection with the FORE-SIGHT MC-2000 (CASMED) device before and the next day after revascularization of lower limb arteries. The 1st group included 30 patients with wound healing throughout 3 months, the 2nd group included 12 patients with amputation or no healing of trophic defects.

RESULTS

Direct revascularization was more common in the 1st group (p=0.001). On the day after intervention, oxygen saturation (StO₂) increased in all angiosomes in both groups (p<0.05). StO₂ increment differed significantly between groups in all angiosomes except for point I (p<0.05). According to ROC analysis, StO₂ increment by 4.5% in absolute values and 7.9% in percentage leads to trophic defect healing within 3 months (sensitivity and specificity were 76.7% and 66.7% for absolute values, 80% and 58.3% for percentage, respectively).

CONCLUSION

Evaluation of StO₂ in target angiosome may be valuable to predict trophic defect healing after endovascular surgery.

Keywords:

near-infrared spectroscopy (NIRS)

diabetes mellitus

revascularization

lower limb arteries

Authors:

Larin I.V.

Razumovsky Saratov State Medical University;
Regional Clinical Hospital

ORCID: 0000-0001-7979-3071

Shchanitsyn I.N.

Research Institute of Traumatology, Orthopedics and Neurosurgery — Razumovsky Saratov State Medical University

ORCID: 0000-0003-0565-5172

Tolstokorov A.S.

Razumovsky Saratov State Medical University

ORCID: 0000-0002-8541-5330

Arakelyan V.S.

Bakoulev National Medical Research Center of Cardiovascular Surgery

ORCID: 0000-0002-0284-6793

Received:

26.10.2023

Accepted:

13.11.2023

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