Optical coherence tomography angiography enables visualization of microvascular patterns in chronic venous insufficiency

Giulia Rotunno, Julia Deinsberger, Kristen M. Meiburger, Lisa Krainz, Lukasz Bugyi, Valentin Hacker, Richard Haindl, Rainer Leitgeb, Christoph Sinz, Leopold Schmetterer, Wolfgang Drexler, Benedikt Weber, Mengyang Liu*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Chronic venous insufficiency (CVI) is a global health concern with significant public health and individual impact. Currently available diagnostic methods cannot visualize microvenous pathologies that have shown to result in severe forms of CVI and also affect the skin. Optical coherence tomography angiography (OCTA) may close the CVI diagnostic gap by providing a fast, label-free, and non-invasive solution to visualize cutaneous microvasculature. The study enlisted 66 subjects, including 53 CVI patients spanning all clinical-etiology-anatomic-pathophysiologic (CEAP) C stages and 13 healthy controls. The high spatial resolution OCTA system used was specifically designed for skin imaging. Significant microangiographic pattern variations emerged, both in qualitative and quantitative terms. OCTA provided valuable insights into cutaneous microvascular changes among different CVI stages. Thereby, OCTA may enable the selection of patient populations at risk for disease progression in the future.

Original languageEnglish
Article number110998
JournaliScience
Volume27
Issue number11
DOIs
Publication statusPublished - Nov 15 2024
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2024 The Author(s)

ASJC Scopus Subject Areas

  • General

Keywords

  • Health sciences
  • Optical imaging
  • Vascular anatomy

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