Wound Morphology and Topography in the Diabetic Foot : Hurdles in Implementing Angiosome-Guided Revascularization
Joint Authors
Van den Brande, Pierre
Denecker, Nathalie
Gallala, Sarah
Debing, Erik
Aerden, Dimitri
Source
International Journal of Vascular Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
Angiosome-guided revascularization is an approach that improves wound healing but requires a surgeon to determine which angiosomes are ischemic.
This process can be more difficult than anticipated because diabetic foot (DF) wounds vary greatly in quantity, morphology, and topography.
This paper explores to what extent the heterogeneous presentation of DF wounds impedes development of a proper revascularization strategy.
Methods.
Data was retrieved from a registry of patients scheduled for below-the-knee (BTK) revascularization.
Photographs of the foot and historic benchmark diagrams were used to assign wounds to their respective angiosomes.
Results.
In 185 limbs we detected 345 wounds.
Toe wounds (53.9%) could not be designated to a specific angiosome due to dual blood supply.
Ambiguity in wound stratification into angiosomes was highest at the heel, achilles tendon, and lateral/medial side of the foot and lowest for malleolar wounds.
In 18.4% of the DF, at least some wounds could not confidently be categorized.
Proximal wounds (coinciding with toe wounds) further steered revascularization strategy in 63.6%.
Multiple wounds required multiple BTK revascularization in 8.6%.
Conclusion.
The heterogeneous presentation in diabetic foot wounds hampers unambiguous identification of ischemic angiosomes, and as such diminishes the capacity of the angiosome model to optimize revascularization strategy.
American Psychological Association (APA)
Aerden, Dimitri& Denecker, Nathalie& Gallala, Sarah& Debing, Erik& Van den Brande, Pierre. 2014. Wound Morphology and Topography in the Diabetic Foot : Hurdles in Implementing Angiosome-Guided Revascularization. International Journal of Vascular Medicine،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-489338
Modern Language Association (MLA)
Aerden, Dimitri…[et al.]. Wound Morphology and Topography in the Diabetic Foot : Hurdles in Implementing Angiosome-Guided Revascularization. International Journal of Vascular Medicine No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-489338
American Medical Association (AMA)
Aerden, Dimitri& Denecker, Nathalie& Gallala, Sarah& Debing, Erik& Van den Brande, Pierre. Wound Morphology and Topography in the Diabetic Foot : Hurdles in Implementing Angiosome-Guided Revascularization. International Journal of Vascular Medicine. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-489338
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-489338