Cultura

Optimizing Healthcare Delivery Through Nurse–Laboratory Technician Collaboration

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

Asma Munaji AlFadhli, Huda Abdullah Abdul Karim Mohammed, Ashjan Saleh Ali Aldakhel, Eid Shayem Alresheedi, Aminah Hassan Alqhatani, Ashwaq Ali Moferh Alshahrani, Ameena Hassan Hakami, Reham Zaki Almadani
Amal Abdulhi Almarzouq, Wala Mohammed Tankou, Hibah Mohammed Al-Orabi, Ahmed Saad Al-Harthi, Futun Mohammed Alzaedi, Manayir Hassan Alsomali, Ahmed Ardini Al Mutairi

Abstract

Healthcare collaboration involves the deliberate coordination of efforts among different healthcare professionals to achieve shared objectives in patient care. This concept is based on the understanding that patient outcomes improve when professionals from diverse disciplines work together effectively (Flores-Sandoval et al., 2021). A wide range of healthcare providers—including nurses, physicians, pharmacists, laboratory technicians, and allied health professionals—contribute their specialized knowledge to ensure comprehensive and continuous care. Through collaboration, all dimensions of a patient’s health are addressed, resulting in more accurate diagnoses, effective treatments, and improved recovery outcomes (Alhawsawi et al., 2023). Collaborative practice is especially critical in the management of complex medical conditions that require input from multiple specialists. By promoting coordinated communication and shared responsibility, collaboration supports a holistic model of care and enhances patients’ overall healthcare experiences. Ultimately, integrating diverse expertise improves care quality, minimizes errors, and supports more efficient use of healthcare resources (Zumstein-Shaha & Grace, 2023).

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