Cultura

Climate Litigation And Constitutional Protection Of Fundamental Rights

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Juan Pablo Cruz Carrillo
Michael Anthony Curimilma Jara

Abstract

This article comparatively analyzes the argumentative strategies and structural remedies of climate litigation and the constitutional protection of fundamental rights in Colombia, Ecuador, Chile, and the Inter-American System from 2015 to 2025. Through a directed review of documents and a curated corpus of 30 publications with DOIs, the article categorizes rights frameworks, principles, and remedial designs. There is a predominance of the rights-centric approach (life, health, a healthy environment, and participation), which is reinforced by OC-23/17. There is also an expansion of the rights of nature and intergenerational justice. Regarding remedies, structural orders are reinforced with verifiable goals, schedules, monitoring mechanisms, and interagency coordination. Ecuador emphasizes restoration and material limits, Chile emphasizes liability for damages and preventive-reparative measures, and Colombia emphasizes dialogic sentences about the Amazon. The article proposes a typology of strategies and remedies and outlines conditions of effectiveness, such as regulatory clarity, indicators, polycentric governance, and participation, as well as bottlenecks, such as capacities, metrics, and distributive conflicts. In conclusion, remedial design is as important as strategy. Its density determines compliance and impact and offers transferable principles that can be applied to different institutional and territorial contexts to bridge the gap between recognized rights and effective climate protection.

Keywords : Climate litigation; fundamental rights; protection; amparo; collective actions; structural remedies..
Erin Saricilar
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