Abstract
Oxygen-15 administered by continuous inhalation and emission computed tomography were used to study regional tissue oxygen utilisation and blood flow in the limbs of 11 patients with venous ulceration and five patients with liposclerosis due to venous insufficiency. The results showed increased blood flow and appreciably reduced fractional oxygen extraction in the diseased tissues. These findings indicated a local, functional shunting of blood through the abnormal microcirculation of the skin and subcutaneous tissues. This may be an important factor in the aetiology of the skin changes seen in patients with calf muscle pump failure.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Burnand K. G., Clemenson G., Whimpster I., Browse N. L. Proceedings: Extravascular fibrin deposition in response to venous hypertension-the cause of venous ulcers. Br J Surg. 1976 Aug;63(8):660–661. [PubMed] [Google Scholar]
- Burnand K. G., Whimster I., Clemenson G., Thomas M. L., Browse N. L. The relationship between the number of capillaries in the skin of the venous ulcer-bearing area of the lower leg and the fall in foot vein pressure during exercise. Br J Surg. 1981 May;68(5):297–300. doi: 10.1002/bjs.1800680502. [DOI] [PubMed] [Google Scholar]
- Clyne C. A., Jones T., Moss S., Ensell J. The use of radioactive oxygen to study muscle function in peripheral vascular disease. Surg Gynecol Obstet. 1979 Aug;149(2):225–228. [PubMed] [Google Scholar]
- Frackowiak R. S., Lenzi G. L., Jones T., Heather J. D. Quantitative measurement of regional cerebral blood flow and oxygen metabolism in man using 15O and positron emission tomography: theory, procedure, and normal values. J Comput Assist Tomogr. 1980 Dec;4(6):727–736. doi: 10.1097/00004728-198012000-00001. [DOI] [PubMed] [Google Scholar]
- GIUS J. A. Arteriovenous anastomoses and varicose veins. Observations with the operation microscope. Arch Surg. 1960 Aug;81:299–310. doi: 10.1001/archsurg.1960.01300020127019. [DOI] [PubMed] [Google Scholar]
- Gronemeyer S. A., Brownell G. L., Elmaleh D. R., Athanasoulis C. A. Transverse section imaging of soft tissue tumors and peripheral vascular disease. Semin Nucl Med. 1980 Oct;10(4):392–399. doi: 10.1016/s0001-2998(80)80040-7. [DOI] [PubMed] [Google Scholar]
- Hoffman E. J., Huang S. C., Phelps M. E. Quantitation in positron emission computed tomography: 1. Effect of object size. J Comput Assist Tomogr. 1979 Jun;3(3):299–308. doi: 10.1097/00004728-197906000-00001. [DOI] [PubMed] [Google Scholar]
- Holling H. E., Beecher H. K., Linton R. R. STUDY OF THE TENDENCY TO EDEMA FORMATION ASSOCIATED WITH INCOMPETENCE OF THE VALVES OF THE COMMUNICATING VEINS OF THE LEG. OXYGEN TENSION OF THE BLOOD CONTAINED IN VARICOSE VEINS. J Clin Invest. 1938 Sep;17(5):555–561. doi: 10.1172/JCI100980. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jones T., Chesler D. A., Ter-Pogossian M. M. The continuous inhalation of oxygen-15 for assessing regional oxygen extraction in the brain of man. Br J Radiol. 1976 Apr;49(580):339–343. doi: 10.1259/0007-1285-49-580-339. [DOI] [PubMed] [Google Scholar]
- Jones T. Positron emission tomography and measurements of regional tissue function in man. Br Med Bull. 1980 Sep;36(3):231–236. doi: 10.1093/oxfordjournals.bmb.a071646. [DOI] [PubMed] [Google Scholar]
- Lindemayr W., Lofferer O., Mostbeck A., Partsch H. Arteriovenous shunts in primary varicosis? A critical essay. Vasc Surg. 1972 Jan-Feb;6(1):9–13. doi: 10.1177/153857447200600102. [DOI] [PubMed] [Google Scholar]
- PIULACHS P., VIDAL-BARRAQUER F. Pathogenic study of varicose veins. Angiology. 1953 Feb;4(1):59–99. doi: 10.1177/000331975300400108. [DOI] [PubMed] [Google Scholar]
- Phelps M. E., Hoffman E. J., Huang S. C., Kuhl D. E. ECAT: a new computerized tomographic imaging system for positron-emitting radiopharmaceuticals. J Nucl Med. 1978 Jun;19(6):635–647. [PubMed] [Google Scholar]
- Phelps M. E., Hoffman E. J., Mullani N. A., Ter-Pogossian M. M. Application of annihilation coincidence detection to transaxial reconstruction tomography. J Nucl Med. 1975 Mar;16(3):210–224. [PubMed] [Google Scholar]
- Rhodes C. G., Lenzi G. L., Frackowiak R. S., Jones T., Pozzilli C. Measurement of CBF and CMRO2 using the continuous inhalation of C15O2 and 15O. Experimental validation using CO2 reactivity in the anaesthetised dog. J Neurol Sci. 1981 Jun;50(3):381–389. doi: 10.1016/0022-510x(81)90150-7. [DOI] [PubMed] [Google Scholar]
- Ryan T. J., Copeman P. W. Microvascular pattern and blood stasis in skin disease. Br J Dermatol. 1969 Aug;81(8):563–573. doi: 10.1111/j.1365-2133.1969.tb16039.x. [DOI] [PubMed] [Google Scholar]
- Ter-Pogossian M. M., Eichling J. O., Davis D. O., Welch M. J., Metzger J. M. The determination of regional cerebral blood flow by means of water labeled with radioactive oxygen 15. Radiology. 1969 Jul;93(1):31–40. doi: 10.1148/93.1.31. [DOI] [PubMed] [Google Scholar]
- Ter-Pogossian M. M., Eichling J. O., Davis D. O., Welch M. J. The measure in vivo of regional cerebral oxygen utilization by means of oxyhemoglobin labeled with radioactive oxygen-15. J Clin Invest. 1970 Feb;49(2):381–391. doi: 10.1172/JCI106247. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ter-Pogossian M. M., Phelps M. E., Hoffman E. J., Mullani N. A. A positron-emission transaxial tomograph for nuclear imaging (PETT). Radiology. 1975 Jan;114(1):89–98. doi: 10.1148/114.1.89. [DOI] [PubMed] [Google Scholar]




