Cultura

The Triad of Care: Synergizing Nursing, Pharmacy, and Laboratory Medicine for Optimal Patient Outcomes

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 Ahmed Edris, Omar Ibrahim Mohamad Asiri, Thuraya mabrook hamad alnahdi, Layla Masoud abdelkair almoawallad, Hamdah Mohammed Alotaibi, Saadiah Saeed Alghamdi, Khulood Abdullah Al-Towairqi
Faisal Dhaidan Mufreh Al-Anzi, Ali Eisa Ali Almalki, Ahmed Ali Saeed Alqahtani, Faris awadh alahmadi, Dalal Khalid almuhaisen, Waleed Ibrahim Mohsen Khawaji, Hamad Hussain Hamad Al Qadrah, Basim Nafea D Alhejaili

Abstract

Recent innovations within the healthcare field have made the way medicine is practiced unrecognizable compared to just 10 years ago, affected by inter alia, the needs of the patient, the complex and challenging details of chronic illness and the burgeoning body of medical knowledge.  Single person practices wherein the doctor would examine and decipher the illness of a patient alone are now a relic of the past. The healthcare ecosystem and new approach to providing healthcare services is based on the fact that individual health is not attained and cannot be the result of a single health care worker, rather a constellation of several specialists and a coordinated effort and synergy within a healthcare team is necessary. The traditional methods of providing healthcare to patients that operate within boundaries of a single discipline (i.e. 'silos') have proven to be inadequate to meet the complex patient needs of today. Given this and the growing body of literature on interprofessional collaboration (IPC), healthcare systems globally are starting to incorporate collaborative care where healthcare professionals from different disciplines join forces to offer integrated care focused on the needs of the patients.

Keywords : .
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