Assessing the Microcirculation of the Foot with Laser Speckle Contrast Imaging During Endovascular and Hybrid Revascularisation Procedures in Patients with Chronic Limb Threatening Ischaemia

Bryan Wermelink*, Onno A. Mennes, Jeff G. Van Baal, Wiendelt Steenbergen, Robert H. Geelkerken, study group

*Corresponding author for this work

Research output: Contribution to journalLetterAcademicpeer-review

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Abstract

In peripheral arterial disease the tissue microcirculation becomes impaired, ultimately resulting in chronic limb threatening ischaemia (CLTI) in 5% of cases. 1 CLTI prognosis is poor unless successful revascularisation is performed. 2 Endovascular and hybrid revascularisation procedures are performed under fluoroscopic and angiographic guidance to visualise the per-operative impact on the macrocirculation. Unfortunately, both lack the ability to visualise the impact on microcirculation, while restoring the microcirculation plays a pivotal role in CLTI. 3 By introducing additional per-operative assessment of the microcirculation, the impact of revascularisation on the microcirculation can be assessed in real time. This allows the surgical team to extend or adjust the revascularisation procedure in a timely manner, improving (prediction of) the clinical outcome.
Original languageEnglish
Pages (from-to)898-899
Number of pages2
JournalEuropean journal of vascular and endovascular surgery
Volume63
Issue number6
DOIs
Publication statusPublished - Jun 2022

Keywords

  • Chronic limb threatening ischaemia
  • Endovascular revascularisation
  • Laser speckle contrast imaging
  • Microcirculation
  • Peripheral arterial occlusive disease
  • 22/3 OA procedure

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