Diabetes complications

The impact of diabetes mellitus on foot perfusion measured by ICG NIR fluorescence imaging

Diabetes Res Clin PractPublished Observational study

Authors' conclusion

DM is associated with increased in- and outflow parameters. Patients with- and without DM should not be compared directly due to different vascular pathophysiology and multifactorial wound problems in DM patients. Quantified ICG NIR fluorescence imaging offers additional insight into the effect of DM on foot perfusion.

Study context

Population
Patients with lower extremity arterial disease (LEAD) undergoing baseline ICG NIR fluorescence imaging of the foot122 limbs
Participants
109 patients
Exposure
LEAD patients with Diabetes Mellitus (DM) vs without DM
Outcome
Ten ICG NIR foot perfusion parameters
Follow-up
Baseline

Main finding

As reported in the abstract

Proportion of patients with DM

32.8 %

Perfusion parameters differing significantly between DM and non-DM

6 of 10

Observational data: associations, not effects.

Further findings

Perfusion parameters in Fontaine stage 4

Fontaine stage 4 DM patients had the highest in- and outflow values; parameters significantly higher (p-values 0.004-0.035)
7

Original publication

The impact of diabetes mellitus on foot perfusion measured by ICG NIR fluorescence imaging. Diabetes Res Clin Pract. Published 6 July 2024. doi:10.1016/j.diabres.2024.111772

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