Cultura

Emerging Technologies and the Redesign of Legal Processes

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

Astelio Silvera Sarmiento, Moisés David Hernández Ruiz, David Santiago Hurtado Corrales, Hugo Hernández Palma, Angélica María Jiménez Coronado, Jesús Enrique García Guiliany, Mirian Elena Ucros Campo

Abstract

This article examines the impact of emerging technologies on the redesign of legal processes, focusing on digitalization, automation, and intelligent systems supporting judicial decision-making. Using a quantitative–exploratory approach, a bibliometric analysis was conducted on a Scopus-indexed academic corpus. Semantic normalization, descriptive statistics, Pearson correlations, significance testing (α = 0.05), and exploratory factor analysis were applied. The findings reveal that the artificial intelligence cluster represents the dominant thematic category (27%), followed by automation (17%) and regulatory dimensions such as governance (15%), accountability (13%), and risk/ethics (10%). Correlation analysis indicates statistically significant associations between artificial intelligence and institutional variables, demonstrating that intelligent systems do not merely enhance procedural efficiency but also reshape the normative and cognitive architecture of judicial decision-making. The exploratory factor analysis identifies a latent regulatory-technological dimension linking artificial intelligence, ethics, and governance. The study further shows that these transformations directly affect legal advocacy and procedural strategy, consolidating a new techno-legal competence as a key variable in contemporary professional practice.

Keywords : legal innovation, artificial intelligence, judicial automation, procedural digitalization, algorithmic governance, technical defense..
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