Measurement of sodium fluorescein wash-in time constants in subjects with peripheral vascular disease.
The authors developed a noninvasive two-channel dynamic dermofluorometer that can quantitatively follow the rapid skin wash-in kinetics of a fluorescent dye to provide an assessment of local skin perfusion. The dermofluorometer was tested in normal subjects and diabetic patients with and without peripheral vascular disease. After an intravenous injection of 1-2 mL of a 10% solution of sodium fluorescein (1.1-2.8 mg/kg), the fluorescent signal was monitored from two sites on the skin surfaces of the forearm and foot. A 3.2-mm-diameter glass fiberoptic bundle was used both to transmit the excitation light (489 nm) and to receive the fluorescent emission (517 nm). Dermofluorometer readings were recorded approximately every second for 10-15 minutes following the injection. The time course of the fluorescein signal intensity was fit to a single exponential curve characterized by a wash-in time constant. There was no significant difference in arm wash-in time constants. Foot wash-in time constants were increased in diabetic patients who had past histories of foot ulcers relative to diabetic patients without a history of foot ulcers (3.2 vs 1.6 min., p < 0.05). Foot wash-in time constants were decreased in diabetic patients who had active infected foot ulcers. This study demonstrates the ability of the dynamic dermofluorometer to measure wash-in constants that reflect the local skin perfusion in less than 15 minutes after a low intravenous dose of sodium fluorescein.
Oh
D K
DK
Center for Biophysics and Computational Biology, University of Illinois Beckman Institute for Advanced Science and Technology, Urbana 61801, USA.
Zhang
A
A
Magin
R L
RL
D005336:Fiber Optic Technology; D019793:Fluorescein / Q000493:pharmacokinetics; D005470:Fluorometry / Q000295:instrumentation*; D006801:Humans; D008954:Models, Biological; D016491:Peripheral Vascular Diseases / Q000175:diagnosis*; D012867:Skin / Q000098:blood supply*
D019793:Fluorescein