From Experience To Excellence: Improving Outcomes In Modern Dental Practice
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Abdullah Ibrahim Bin Jammaz, Abdullah Abdulrahman AlSenaidy, Hissah Abdulrahman Hussin Alhudaib, Mohammad Eid AlJohani, Tariq Othman AlOthman, Faris Khalid AlJuhani
Mohammed Ahmed Majhali, Mona Ahmed AlTherwi, Bashiaier Mulla Mohammed AlHarbi, Abdulqader Ahmed Bafagih, Fatimah Abdullah AlRabiea
Abstract
The quality of dental care is a fundamental determinant of overall health and well-being. Oral health is closely interconnected with systemic conditions such as cardiovascular disease, diabetes, and respiratory infections, making high standards of dental care essential for general health maintenance. Inadequate dental care can result in significant complications, including chronic pain, tooth loss, impaired speech, and diminished quality of life (Dyar, 2022). Beyond physical consequences, poor oral health can negatively affect self-esteem, social engagement, and emotional well-being. Therefore, delivering high-quality dental care is vital not only for achieving favorable clinical outcomes but also for enhancing patients’ overall experiences and quality of life during and after treatment (Tartaglia, 2021).
Keywords :
.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty