2026-03-12T19:29:34Z https://air.repo.nii.ac.jp/oai

oai:air.repo.nii.ac.jp:00005839 2024-08-24T14:03:11Z 611:939:940

Utility of Superb Microvascular Imaging in the Assessment of Foot Perfusion in Patients with Critical Limb Ischemia Suto, Yuta Sato, Wakana Yamanaka, Takayuki Unuma, Mayu Kobayashi, Yuki Aokawa, Mako Watanabe, Hiroyuki open access © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). foot perfusion superb microvascular imaging critical limb ischemia (1) Background: Although the ankle–brachial index (ABI) and skin perfusion pressure (SPP) are commonly used to evaluate the peripheral circulation in critical limb ischemia (CLI), they often cannot be performed on sore areas. We investigated the utility of superb microvascular imaging (SMI) for assessing foot perfusion in CLI patients. (2) Methods: We measured the SMI-based vascular index (SMI-VI) at six sites in the foot before and after endovascular treatment (EVT) in 50 patients with CLI who underwent EVT of the superficial femoral artery and compared the results with SPP values and the ABI. (3) Results: SMI visualized foot perfusion in all subjects in accordance with the angiosome, including the toe areas, while the ABI was unmeasurable in three patients on hemodialysis and SPP failed in four patients. SMI-VI values were significantly lower in the CLI group than in controls, and the plantar SMI-VI had the highest diagnostic performance for CLI (sensitivity 88.6%, specificity 95.6%). After EVT, the increase in the SMI-VI was positively correlated with the increase in SPP but not that in the ABI, implying that the SMI-VI reflects foot microcirculation. (4) Conclusions: SMI enables the visualization and quantification of foot microcirculation based on the angiosome. SMI has high utility as a tool for assessing foot perfusion in CLI. MDPI 2022 eng journal article VoR http://hdl.handle.net/10295/00006151 https://air.repo.nii.ac.jp/records/5839 https://doi.org/10.3390/diagnostics12112577 20754418 Diagnostics 12 11 https://air.repo.nii.ac.jp/record/5839/files/iA_2022_25.pdf application/pdf 1.9 MB 2023-01-30