Cultura

The Expansion of Human Existence in the Islamic Perspective

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

Ayub Khoday Nazar, Dr. Seyed Zuhair Al-Mesilini (Tunisia)

Abstract

Different intellectual schools have each provided their own approach to understanding the human being. Materialistic schools define humans as physical and bodily beings, limiting their existence to material and natural dimensions. In contrast, divine schools consider humans as a complex combination of spiritual and physical, or innate and natural, dimensions, although they do not equate the value of the spiritual and physical aspects. These two interpretations of human existence have significant implications in all areas related to humans, such as psychology, sociology, education, cultural studies, and the study of civilization. This study aims to analyze and discuss various aspects of human existence from the Islamic perspective through a descriptive-analytical approach. In Islam, humans are considered beings with various dimensions, unlike angels and animals, who are singularly dimensional. Animals possess only the physical aspect, and angels possess only the intellectual aspect. According to Islam, human existence consists of various dimensions, including the physical, intellectual, moral, imaginary, ethical, and spiritual aspects, among others. Understanding each of these dimensions and making proper use of them plays a vital and key role in human individual, family, and social life.

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