Cultura

States of the Art Studies: A Contribution to Research Training. Analysis of Scientific Production Published in the Americas.

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Nohora Elisabeth Alfonso Bernal
Deicy Paola La Rotta Suárez
Alba Matilde Chávez Otalora

Abstract

This article aims to examine scientific production on States of the Art Studies as a contribution to research training in higher education, focusing on works published in the Americas between 1993 and 2021. The 64 scientific articles analyzed were retrieved from databases such as Dialnet, Redalyc, SciELO, EBSCOhost, and institutional repositories of universities including the Pontificia Universidad Católica de Chile, the Universidad Pedagógica y Tecnológica de Colombia, the Universidad de Caldas, the Universidad Santo Tomás, the Universidad de Antioquia, the Universidad Tecnológica de Pereira, the Universidad de los Andes, the Universidad Pedagógica Nacional, and the Pontificia Universidad Javeriana.

The qualitative analysis was conducted using a matrix entitled Theoretical and Methodological Trends in States of the Art: A Contribution to Research Practices in Education. This matrix was developed through the design of state-of-the-art research projects within the Research Group for Cultural Animation–Muisuata at the Universidad Pedagógica y Tecnológica de Colombia.

The findings focus on defining the historical context, characterization, purpose, and methodological structure of states of the art. This overview concludes with the identification of trends that constitute a contribution to the training of researchers.

Keywords : State-of-the-Art Studies; research training; scientific production.
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