Smart Laboratories: How Automation And Digitalization Redefine Accuracy And Efficiency
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
Ebtehal Ahmed Yaslam Batayah, Mohammed Lafi M. Almutairi, Ali Zaid A. Alshehri, Saleh Zaid Abdulrahman Alshehri, Nailah Hassan Alzaki, Mosa Ali Alhaqwi, Jaber Mousa Alhaqwi
Khalid Ojab Alsubaie, Majed Badi Kademis Almutairi, Abdullah Tarahib Musameh Almutairi, Hind Hassan Aljohani, Azhar Salman Al Khalil, Saeed Mohammed Alnujami, Mansour Balud Kulaib Alotaibi
Abstract
Laboratory testing is a cornerstone of medical diagnosis, scientific investigation, and quality assurance across a wide range of industries. Traditionally, laboratory procedures have relied heavily on manual operations, with personnel responsible for handling samples, interpreting results, and managing data records (AL Thagafi et al., 2022). However, the growing demand for testing services, coupled with increasingly complex analytical procedures and the need for rapid turnaround times, has exposed the limitations of manual laboratory workflows. These pressures have accelerated the adoption of automation and digitalization, which offer solutions for improving precision, minimizing human error, and enhancing overall laboratory performance (Holland & Davies, 2020). As a result, automated technologies have become essential components of modern laboratories, delivering more standardized and dependable results across multiple sectors (Tyagi et al., 2020).
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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