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314                       Arnold and Arm | Journal of Clinical and Translational Research 2024;10(5):307-316
        saturation with NIR imaging in the VLU case presented here   formal research protocol were required, nor were the cases added
        supports the use of PMVT and addresses a key risk factor for   to a public database. All facility procedures for obtaining patient
        non-healing.  The  restoration  of  the  microcirculation  enables   consent for treatment were followed, and release forms to allow
        increased  oxygen and nutrient  delivery  to the  wound, which   data and image publication were obtained from each patient.
        promotes granulation and wound epithelialization [40].
          This case series demonstrates the breadth of potential   Consent for Publication
        applications for PMVT in real-world clinical experience, beyond   As this case series was conducted under standard practice
        the previously published Level 1 RCT data neuropathic DFUs.   of medicine with a commercial human tissue product for each
        Podiatrists, plastic and reconstructive surgeons, and wound care   respective  application, no additional  ethical  regulations or
        practitioners may all benefit from learning about the outcomes   formal  research protocol  were required,  nor were the cases
        in this series for their own hard-to-heal wounds and skin defects   added to a public database. All facility procedures for obtaining
        in  patients  with  damaged  or  deficient  microvasculature.  The   patient consent for treatment were followed, and release forms
        authors recognize that the number of patients treated within   to allow data and image publication were obtained from each
        each wound category reported here is limited, and that ideally a   patient.
        more formal protocol-driven case series or clinical trial would
        provide additional insight into PMVT’s effectiveness in these   Availability of Data
        different types of wounds. PMVT is limited to local applications   Due to commercial reasons, access to the data that support
        only; intravascular or other systemic delivery is contraindicated.
                                                               the findings of this case series is restricted.
        5. Conclusion
                                                               References
          While the broad conclusions that can be drawn from this
        series of challenging wound cases are limited, it is evident that   [1]   Gosain  A, DiPietro  LA.  Aging and  Wound Healing.
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        insufficiencies.  All  defects  fully  healed  in  the  five  cases   [2]   Guo S, DiPietro LA. Factors Affecting Wound Healing.
        presented  in  this series,  with  patients  requiring  3 – 8 topical   J Dent Res 2010;89:219-29.
        PMVT applications before closure. Tissue in the healing defect      doi: 10.1177/0022034509359125
        sites  became  progressively  more  granulated  during  PMVT   [3]   Mathieu D, Linke JC, Wattel F. Non-Healing Wounds. In:
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        Acknowledgments                                             and Wound Healing: A Role for Pericytes. Int J Biochem
          The PMVT product used in this case series was provided by   Cell Biol 2012;44:1800-12.
        MicroVascular Tissues, Inc.                                 doi: 10.1016/j.biocel.2012.06.031
                                                               [7]   Pham  HT,  Economides  PA,  Veves  A.  The  Role  of
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          J.F.A. reports no conflict of interest. D.M.A. is an employee   Microvessels. In: Regulation  of Endothelial  Barrier
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                                               DOI: http://doi.org/10.36922/jctr.24.00059
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