MARC details
| 000 -LEADER |
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| fixed length control field |
04117nam a22005777a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
201231s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1558-9447 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1177/1558944719837023 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
30895817 |
| 245 ## - TITLE STATEMENT |
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| Title |
A Prospective Pilot Study of Vascular Assessment of the Upper Extremity With Laser Angiography. |
| 251 ## - Source |
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| Source |
Hand. 15(6):870-876, 2020 11. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Hand. 15(6):870-876, 2020 11. |
| 252 ## - Abbreviated Source |
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| Former abbreviated source |
Hand. 15(6):870-876, 2020 11. |
| 252 ## - Abbreviated Source |
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| Former abbreviated source |
Hand. 15(6):870-876, 2020 Nov. |
| 253 ## - Journal Name |
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| Journal name |
Hand (New York, N.Y.) |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2022 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2020-12-31 |
| 268 ## - Previous citation |
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| -- |
Hand. 15(6):870-876, 2020 11. |
| 268 ## - Previous citation |
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| -- |
Hand. 15(6):870-876, 2020 Nov. |
| 269 ## - Original dates |
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| Original fiscal year |
FY2021 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: Our goal was to investigate patients' upper extremity tissue perfusion changes using an indocyanine green laser angiography imaging system for various pathologic states and interventions. Methods: This prospective observational study used Spy Elite/LUNA laser angiography to evaluate perfusion in patients with upper extremity vascular compromise. All patients had Spy Elite/LUNA imaging as well as clinical and handheld Doppler examinations preintervention, intraoperatively, if applicable, and at 1 week, 2 weeks, and 2 months postintervention. For each laser angiography scan, we used an unaffected control area with uninjured skin to quantitatively compare with the dysvascular tissues. Results: Twelve patients, 7 men and 5 women, had a total of 16 upper extremities evaluated. The mean age was 53 years, and half of the patients entering the study were smokers. Etiologies of vascular compromise were trauma, primary and secondary vasospastic disease, scleroderma, and intravascular drug injection. Interventions included surgical repair/reconstruction, botulinum toxin injections, and/or systemic medications. Improvement in perfusion following intervention was statistically significant, demonstrated by an increase in Spy Elite/LUNA quantitative score postintervention compared with preintervention scans. Adjusting for other variables, such as smoking and handheld Doppler signal status, demonstrated an independent statistically significant increase in Spy Elite/LUNA scores at all postintervention time points compared with preintervention scores. Laser angiography was able to confirm adequate vascular status, with ultimate tissue survival, in some cases when Doppler signals were not initially present. Conclusions: Laser angiography provided objective data to document improved upper extremity tissue perfusion following various interventions. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Upper Extremity/bs [Blood Supply] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Upper Extremity/dg [Diagnostic Imaging] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Adult |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Aged |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Angiography |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Coloring Agents |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Female |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Indocyanine Green |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Lasers |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Male |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Middle Aged |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Pilot Projects |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Prospective Studies |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Curtis National Hand Center |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Higgins, James P |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Hui-Chou, Helen G |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Means, Kenneth R Jr |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Thakkar, Madhuli Y |
| 790 ## - Authors |
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| All authors |
Higgins JP, Hui-Chou HG, Means KR Jr, Thakkar MY |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1177/1558944719837023">https://dx.doi.org/10.1177/1558944719837023</a> |
| Public note |
https://dx.doi.org/10.1177/1558944719837023 |
| 858 ## - ORCID |
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| ORCID text |
Higgins, James P |
| -- |
Means, Kenneth R Jr |
| Orcid |
<a href="https://orcid.org/0000-0002-9040-357X">https://orcid.org/0000-0002-9040-357X</a> |
| -- |
<a href="https://orcid.org/0000-0002-9040-357X">https://orcid.org/0000-0002-9040-357X</a> |
| Name |
https://orcid.org/0000-0002-9040-357X |
| -- |
https://orcid.org/0000-0002-9040-357X |
| -- |
https://orcid.org/0000-0002-9040-357X |
| -- |
https://orcid.org/0000-0002-9040-357X |
| 858 ## - ORCID |
|---|
| ORCID text |
Higgins, James P |
| -- |
Means, Kenneth R Jr |
| Orcid |
<a href="https://orcid.org/0000-0002-9040-357X">https://orcid.org/0000-0002-9040-357X</a> |
| -- |
<a href="https://orcid.org/0000-0002-9040-357X">https://orcid.org/0000-0002-9040-357X</a> |
| Name |
https://orcid.org/0000-0002-9040-357X |
| -- |
https://orcid.org/0000-0002-9040-357X |
| -- |
https://orcid.org/0000-0002-9040-357X |
| -- |
https://orcid.org/0000-0002-9040-357X |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
