Peripheral arterial disease, PAD, Hyperspectral imaging, thermal imaging, tissue perfusion, tissue ischemia, wound healing
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with Peripheral arterial disease, with Rutherford classification 2 to 6 and patients with undefined ulcers meet inclusion criteria.
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: Patients with insufficient knowledge of the Dutch language, illiteracy or language barrier Patients with severe peripheral oedema (will affect hyperspectral imaging and TcPO2) Patient with severe cardiac-pulmonary failure Patients with active cellulitis-erysipelas of the legs or other dermatological diseases (that will compromise tcPO2 of hyperspectral imaging measurements).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine normal ranges for oxyhemoglobin, deoxyhemoglobin, oxygen saturation and local skin temperature values during all stages and phases (pre-/per-/post-intervention) of treatment of peripheral arterial disease. | — |
Secondary
| Measure | Time frame |
|---|---|
| To provide a standardized and validated measurement protocol for hyperspectral and thermal imaging with a hand-held camera, that enables non-invasive tissue perfusion imaging at home. To correlate hyperspectral imaging and thermal imaging with the gold standard tcPO2. To correlate ankle brachial index (ABI), toe systolic blood pressure (TBP) and treadmill test with the gold standard tcPO2. To associate oxyhemoglobin, deoxyhemoglobin and oxygen saturation levels and thermal imaging with: - Clinical improvement after intervention (supervised exercise therapy, endovascular intervention or bypass surgery). Including: Multivariate analysis with patient demographics and lifestyle (data gained from a questionnaire) - Wound healing (post-intervention and without intervention) - Origin of non-healing ulcer (arterial, venous or neuropathic (diabetes-related) | — |