Abstract
Beginning in the early 1970s, it became clear that empiric means of assessing foot perfusion were not adequate due to lack of sensitivity and specificity. Compelling research led to the discovery of a number of different objective tools that could be used to assess the degree of foot ischemia. Among the tested modalities, transcutaneous oxygen tension proved to be invaluable in the evaluation of lower extremity ischemia. Design of the transcutaneous sensor made it possible to obtain very accurate measurements of oxygen (pO2) and carbon dioxide (pCO2) tension on the surface of the skin. This chapter will discuss the physiology of transcutaneous oxygen (tcpO2) measurements and demonstrate how these measurements can be used for the determination of amputation level. In addition, tcpO2 measurements will be shown to be essential for the prospective management of diabetic patients with foot ischemia as well as nondiabetic patients with chronic lower extremity ischemia.
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Ballard, J.L., Bianchi, C. (2000). Transcutaneous Oxygen Tension: Principles and Applications. In: AbuRahma, A.F., Bergan, J.J. (eds) Noninvasive Vascular Diagnosis. Springer, London. https://doi.org/10.1007/978-1-4471-3837-2_30
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DOI: https://doi.org/10.1007/978-1-4471-3837-2_30
Publisher Name: Springer, London
Print ISBN: 978-1-4471-3839-6
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