[논문]Leg ulcers in peripheral arterial disease (arterial leg ulcers): Impaired wound healing above the threshold of chronic critical limb ischemia

doi:10.1067/mjd.2000.108375

[해외논문] Leg ulcers in peripheral arterial disease (arterial leg ulcers): Impaired wound healing above the threshold of chronic critical limb ischemia

Journal of the American Academy of Dermatology, v.43 no.6, 2000년, pp.1001 - 1008

Hafner, Jürg (Zurich, Switzerland) , Schaad, Iris (Zurich, Switzerland) , Schneider, Ernst (Zurich, Switzerland) , Seifert, Burkhardt (Zurich, Switzerland) , Burg, Günter (Zurich, Switzerland) , Cassina, Paolo Claudio (Zurich, Switzerland)

Abstract ▼ AI-Helper

AbstractBackground: Peripheral arterial disease is the only identifiable etiology in approximately 10% of leg ulcers. Clinical data on the management of these chronic wounds are scarce. Objective: We attempted to outline the threshold of systolic ankle pressure and ankle-brachial-index (ABI) below which arterial leg ulcers can occur and to outline the indication for revascularization in arterial leg ulcers. Methods: Diagnostic and outcome analysis was performed for 26 consecutive patients with arterial leg ulcers. We calculated sensitivities, specificities, and receiver operating characteristic (ROC) curves for the identification of arterial leg ulcers among all 223 consecutive leg ulcer patients within a 3-year period, as well as the ROC curve for patients who required revascularization. Results: The systolic ankle pressure was 88 (18-130) mm Hg (median; 95% confidence interval) and the ABI was 0.60 (0.15-0.86), respectively. Eighteen patients (69%) were subjected to revascularization. By the end of the study, 24 patients (92%) healed completely, 1 improved (90% wound closure), and 1 patient had to undergo below-knee amputation for chronic osteomyelitis. During this study, the ankle pressure and ABI were poor in distinguishing those patients who required revascularization from those who healed without revascularization. Conclusion: Most arterial leg ulcers do not meet the criteria of chronic critical limb ischemia, but they do not heal under conservative measures, either. A majority of these patients benefit from revascularization and should, therefore, be referred for arterial duplex ultrasound investigation or angiography. In our study, an ankle pressure below 110 mm Hg identified all patients (100%) who were subjected to revascularization procedures. However, controlled clinical studies are required to find the systolic ankle pressure and ABI below which revascularization can be recommended to speed up the healing time. (J Am Acad Dermatol 2000;43:1001-8.)

참고문헌 (35)

Br Med J Callam 294 929 1987 10.1136/bmj.294.6577.929 Arterial disease in chronic leg ulceration: an underestimated hazard? Lothian and Forth Valley leg ulcer study

상세보기
Acta Derm Venereol (Stockh) Hansson 71 502 1990 10.2340/0001555571502505 Location of ulcers on the lower limb in relation to distal systolic blood pressure indices

상세보기
Acta Derm Venereol (Stockh) Anderson 73 57 1993 10.2340/00015555735761 Leg and foot ulcer prevalence and investigation of the peripheral arterial and venous circulation in a randomized elderly population

상세보기
Acta Derm Venereol (Stockh) Akesson 75 133 1995 10.2340/0001555575133135 Leg ulcers: report on a multidisciplinary approach

상세보기
Eur J Vasc Endovasc Surg Konradsen 11 74 1996 10.1016/S1078-5884(96)80138-9 Chronic critical leg ischemia must include leg ulcers

상세보기
Br Med J Callam 295 1382 1987 10.1136/bmj.295.6610.1382 Hazards of compression treatment of the leg: an estimate from Scottish surgeons [letter]

상세보기
Curr Probl Dermatol Partsch 27 130 1999 10.1159/000060638 Compression therapy
Eur J Vasc Surg Baker 6 245 1992 10.1016/S0950-821X(05)80313-5 Aetiology of chronic leg ulcers

상세보기
Circulation Second European Consensus 84 Suppl IV 1 1991 Second European Consensus document on chronic critical leg ischemia
Curr Probl Dermatol Wütschert 27 203 1999 10.1159/000060649 Assessment of peripheral arterial occlusive disease
Bollinger 80 1979 Arterielle Verschlusskrankheiten
J Cardiovasc Surg Ramsey 24 43 1983 Toe blood pressure: a valuable adjunct to ankle pressure measurement for assessing peripheral arterial disease
J Bone Joint Surg (Br) Bongard 70B 465 1988 10.1302/0301-620X.70B3.3372572 Predicting amputation in severe ischemia

상세보기
Diabetes Care Wütschert 20 1315 1997 10.2337/diacare.20.8.1315 Determination of amputation level in diabetic limbs

상세보기
Lancet Klomp 353 1040 1999 10.1016/S0140-6736(98)05069-7 Spinal-cord stimulation in critical limb ischemia: a randomised controlled trial

상세보기
Vasa Schneider 11 336 1982 Die perkutane transluminale Angioplastie (PTA) in den Stadien III und IV der peripheren arteriellen Verschlusskrankheit

상세보기
Cardiovasc Intervent Radiol Löfberg 19 317 1996 10.1007/BF02570182 The use of below-knee percutaneous transluminal angioplasty in arterial occlusive disease causing chronic critical limb ischemia

상세보기
Deutsch Med Wochenschr Stirnemann 116 1175 1991 10.1055/s-2008-1063732 Langzeitergebnisse nach infrainguinaler Arterienrekonstruktion bei Typ-II-Diabetikern und Nicht-Diabetikern

상세보기
Eur J Vasc Endovasc Surg Mattes 13 14 1997 10.1016/S1078-5884(97)80045-7 Falling incidence of amputations for peripheral occlusive arterial disease in Western Australia between 1980 and 1992

상세보기
JAMA Applegate 270 497 1993 10.1001/jama.1993.03510040101039 Ankle/arm blood pressure index: a useful test for clinical practice?

상세보기
JAMA Vogt 270 465 1993 10.1001/jama.1993.03510040069031 Decreased ankle/arm blood pressure index and mortality in elderly women

상세보기
JAMA Newman 270 487 1993 10.1001/jama.1993.03510040091035 Morbidity and mortality in hypertensive adults with a low ankle/arm blood pressure index

상세보기
Eur J Vasc Endovasc Surg Nelzén 13 500 1997 10.1016/S1078-5884(97)80179-7 Long-term prognosis for patients with chronic leg ulcers: a prospective study

상세보기
Acta Derm Venereol (Stockh) Sindrup 70 259 1990 10.2340/0001555570259261 Prognostic significance of digital blood pressure in leg ulcer patients

상세보기
JAMA Carter 207 1869 1969 10.1001/jama.1969.03150230083009 Clinical measurement of systolic pressures in limbs with arterial occlusive disease

상세보기
Scand J Clin Lab Invest Carter 31 239 1973 The relationship of distal systolic pressures to healing of skin lesions in limbs with arterial occlusive disease, with special reference to diabetes mellitus
Vasa Wütschert 27 224 1998 Predicting healing of arterial leg ulcers by means of segmental systolic pressure measurements

상세보기
Cardiology Hartmann 84 25 1994 10.1159/000176325 Noninvasive methods in the early detection of restenosis after percutaneous transluminal angioplasty in peripheral arteries

상세보기
Br J Surg Yao 57 761 1970 10.1002/bjs.1800571016 Haemodynamic studies in peripheral arterial disease

상세보기
Curr Probl Dermatol Rabe 27 89 1999 10.1159/000060613 Venous mapping with Doppler and duplex sonography
Semin Nucl Med Metz 8 283 1978 10.1016/S0001-2998(78)80014-2 Basic principles of ROC analysis

상세보기
Actas Inst Policlinico (Barcelona) Martorell 1 6 1945 Las ulceras supramaleolares par arteriolitis de los grandes hypertensos
Ann Dermatol Venereol Lazareth 122 575 1995 Angiodermite nécrotique: traitement par greffes cutanées précoces

상세보기
Int Angiol Leu 11 132 1992 Hypertensive ischemic leg ulcer (Martorell's ulcer): a specific disease entity?

상세보기
Acta Orthop Scand Holstein 51 995 1980 10.3109/17453678008990906 Healing of ulcers on the feet correlated with distal blood pressure measurements in occlusive arterial disease

상세보기

원문 URL 링크

DOI : 10.1067/mjd.2000.108375
Mosby : 저널
Elsevier : 저널 > 논문

*원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다.

저작권 관리 안내

내보내기 메뉴

내보내기 구분

파일저장
인쇄
메일전송

구성항목

기본정보
상세정보

관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관

저장형식

Text(ASCII format)
Excel format
RefWorks Direct Export
RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley

메일정보

받는사람 (필수): @
보내는사람 (선택): @
제목
내용: KISTI 검색결과 이메일 서비스

안내

총 건의 자료가 검색되었습니다.

다운받으실 자료의 인덱스를 입력하세요. (1-10,000)

검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다.

데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요)

다운로드 파일은 UTF-8 형태로 저장됩니다.
파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오.

Text(ASCII format)
Excel format

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

AI-Helper ※ AI-Helper는 을 사용합니다.

AI-Helper

안녕하세요, AI-Helper입니다. 좌측 "선택된 텍스트"에서 텍스트를 선택하여 요약, 번역, 용어설명을 실행하세요.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.

연합인증

[해외논문] Leg ulcers in peripheral arterial disease (arterial leg ulcers): Impaired wound healing above the threshold of chronic critical limb ischemia

Abstract ▼ AI-Helper

참고문헌 (35)

이 논문을 인용한 문헌

관련 콘텐츠

원문 URL 링크

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format