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Clinical Study Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc 2018

The use of indocyanine green fluorescence angiography to assess perfusion of chronic wounds undergoing hyperbaric oxygen therapy.

Kim DU, Rao A, Kaplan S, Baksh F, Caprioli R, Haight J, et al. — Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc, 2018

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers investigated the utility of indocyanine green fluorescence angiography (IGFA) to assess perfusion in chronic wounds undergoing hyperbaric oxygen therapy (HBO2).

What They Found

In 26 patients with chronic wounds, the median ingress rate, a measure of blood flow, increased from 0.90 units/second at baseline to 2.45 units/second after approximately 10 HBO2 sessions, and further to 3.70 units/second post-HBO2. While overall median ingress rates increased, 6 of 11 patients showed a decrease in ingress rate from baseline to mid-therapy.

What This Means for Canadian Patients

This study suggests that indocyanine green fluorescence angiography (IGFA) could be a useful tool for Canadian clinicians to monitor changes in blood flow to chronic wounds during hyperbaric oxygen therapy. By assessing perfusion changes, IGFA may help guide treatment decisions and potentially identify patients who are responding well or poorly to HBO2.

Canadian Relevance

This study has no direct Canadian connection as it was not conducted in Canada, nor did it involve Canadian participants or researchers.

Study Limitations

A key limitation of this preliminary study is its small sample size, which restricts the ability to definitively clarify the predictive benefit of IGFA for wound healing.

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Study Details

Study Type Clinical Study
Category Wound Care
Source Pubmed
PubMed ID 31158933
Year Published 2018
Journal Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc
MeSH Terms Adult; Chronic Disease; Coloring Agents; Crush Injuries; Diabetic Foot; Fluorescein Angiography; Foot Injuries; Humans; Hyperbaric Oxygenation; Indocyanine Green; Regional Blood Flow; Retrospective Studies; Surgical Flaps

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.