Infrared Illumination and Subcutaneous Venous Network: Can it be of Help for the Study of CEAP C1 Limbs?

Autor: Aritz Ortega-Centol, Fátima Ruano-Ferrer, Pablo Hernández-Morera, Francisco Ortega-Santana
Rok vydání: 2020
Předmět:
Zdroj: European Journal of Vascular and Endovascular Surgery. 59:625-634
ISSN: 1078-5884
DOI: 10.1016/j.ejvs.2019.11.034
Popis: Objective The subcutaneous venous network (SVN) is difficult to see with the naked eye. Near infrared illumination (NIr-I) claims to improve this. The aims of this observational study were to investigate whether there are differences between the different methods; to quantify the length and diameter of SVNs; and to confirm if they differ between C0A and C1 CEAP limbs. Methods In total, 4 796 images, half of them from the visible spectrum (VS) and the other half from the nearninfrared spectrum (NIrS), belonging to 109 females (C0A: n = 50; C1 CEAP: n = 59) were used to establish the morphological characteristics of the SVN by visual analysis. With Photoshop CS4, SVN diameters and lengths were obtained by digital analysis of 3 052 images, once the images of whole extremities were excluded. Results On NIr-I, the diameters, trajectories, and colouration of SVNs of C1 limbs appeared more irregular than SVNs of C0A limbs. Compared with the VS images, NIr-I allowed visualisation of a greater length of the SVN in both groups (p Conclusion The NIr-I reveals the characteristics of the SVN better than the naked eye. Further studies are required to determine the significance of the changes in the SVN in C0A and C1 limbs, and the factors causing them.
Databáze: OpenAIRE