Life Cannot be Good
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
Matti Häyry
Amanda Sukenick
Abstract
This paper examines a structural tension in contemporary Aristotelian moral philosophy. Geach’s claim that states of affairs cannot be bearers of goodness underpins critiques of outcome-based ethics, yet accounts of human flourishing and procreation appear to rely implicitly on the value of states of affairs. By tracing the roles of Geach, Foot, and Anscombe, the paper shows that this tension is unavoidable: either states of affairs can be good, admitting consequentialist reasoning back into moral theory, or life, flourishing, and procreation cannot be affirmed as morally good. Using procreation as a decisive test case, the argument demonstrates that appeals to virtue or practical reason alone cannot resolve the dilemma. The paper thus contributes a sharpened understanding of the internal structure of Aristotelian ethics and its implications for normative claims about life and human flourishing.
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