Cultura

SMEs and Startups in Saudi Arabia: A Mixed-Methods Empirical Investigation in the Context of Vision 2030

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

Faisal Mohammed Maghamis

Abstract

The recent Saudi Vision 2030 plan has driven much of the development of small and medium-sized enterprises (SMEs) in the tertiary sector. While the Saudi BCG report records higher growth of young entrepreneurs, they still encounter significant structural, financial, and sociocultural constraints in their businesses that restrict them from performing optimally and growing. The study adopted a mixed-methods approach characterized by semi-structured interviews and a survey of young entrepreneurs from Saudi Arabia. Furthermore, policy documents/institutional records from the beginning of the Kingdom’s existence until the present were examined. Findings showed that the barriers faced by Saudi entrepreneurs are financing problems (90%), burden of regulatory requirements (82%), and socio-cultural norms (75%). Simultaneously, government initiatives have made a significant contribution through Saudi Venture Capital companies Monsha’at and Badir Technology Incubator to provide access to institutional support. Through thematic analysis, six broad issues that pose challenge to Saudi entrepreneurs were identified in this study. Quantitative data (interviews, survey, document analysis) showed that, on average, years in operation had a positive relationship with the annual turnover of enterprises, with a rapid increase in the number of enterprises registered between 2013 and 2023. The study concludes with recommendations for refinement of policies, strengthening the financial ecosystem, and making entrepreneurship education culturally sensitive to meet the Vision 2030 target for SMEs to contribute 35% to G.D.P. These findings can be used as guidelines for policymakers, support agencies, and researchers dealing with entrepreneurship in emerging economies in the Gulf.

Keywords : SMEs, startups, Saudi Arabia, Vision 2030, entrepreneurial ecosystem.
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