Evaluating Mechanical Versus Manual Cardiopulmonary Resuscitation In The Prehospital Setting (Ambulance)
VOLUME 23, 2026
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Hamad Hamadan Al Anazi, Mohammed Dhafer Alasmari, Bader Abdulkarim Faqiri, Abdulazeez Mansour Alrajeh
Farhan Mubarak Alanazi, Turki Awadh Alqahtani, Mohammed Askar Alanazi, Nasser Ayidh Alruwaythi
Abstract
Out-of-hospital cardiac arrest (OHCA) represents a major global public health challenge, accounting for substantial mortality and long-term neurological disability among survivors. The reported annual incidence ranges between 30 and 97 cases per 100,000 population depending on geographic region, EMS infrastructure, and reporting systems. Survival rates vary widely, from below 5% in some regions to over 20% in highly optimized systems with strong community response programs. These disparities reflect differences in bystander CPR rates, AED accessibility, EMS response times, and post-resuscitation care pathways. Understanding these epidemiological patterns is essential for designing effective prehospital interventions and system-level improvements aimed at enhancing survival and neurological outcomes (Berdowski et al., 2010).
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