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Clinical value of transcutaneous oxygen tension


Sang Thrombose Vaisseaux. Volume 10, Number 9, 581-5, Novembre 1998, Mini-revues

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Author(s) : Robert WUTSCHERT, Olivier BONGARD, Henri BOUNAMEAUX

Summary : Since the early 80’s transcutaneous oxygen tension (TcPO2) has progressively become a highly valuable tool in clinical practice to evaluate patients with severe peripheral arterial occlusive disease (PAOD). The TcPO2 provides a simple and noninvasive index of the cutaneous nutritional circulation. The normal TcPO2 value on the dorsum of the foot is > 40 mmHg. In patients with PAOD, a TcPO2 < 10 mmHg corresponds to severe chronic ischemia and indicates a bad limb prognosis, particularly if there is no TcPO2 increase during oxygen inhalation. A value > 20 mmHg indicates sufficient tissular oxygenation and is associated with a better prognosis. It usually allows a skin ulcer to heal.

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