Vascular and Endovascular Review

VOLUME 6, 2023

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

VOLUME 7, 2024

Comparative Analysis of Vascular Reperfusion Techniques in Ischemic Stroke. A Randomized Controlled Trial

Mariam Powell
Division of Vascular and Endovascular Surgery, Cardio-Thoraco-Vascular Department, University Hospital of Trieste ASUGI, Trieste, Italy

Abstract

The aim of the research is to determine the Comparative Analysis of Vascular Reperfusion Techniques in Ischemic Stroke. Although patient enrollment hurdles and logistical issues are expected, these issues are intended to be minimized via the use of simplified processes and ongoing communication initiatives. The study's external validity is reinforced by the multicenter design, which spans many geographical locations and improves the generalizability of the results to a wider population. For measuring the research study, SPSS software related to the variable was used, including vascular reperfusion techniques and ischemic stroke. This research has the potential to have an influence not just on the scientific community but also on the larger healthcare system. A deeper comprehension of the relative merits of vascular reperfusion methods might result in more economical stroke treatment procedures and more effective resource allocation. In the end, this trial's findings may lessen the impact of ischemic stroke on society by influencing evidence-based approaches and advancing the continuous development of stroke treatment. All things considered; this randomized controlled trial's Comparative Analysis of Vascular Reperfusion Techniques in Ischemic Stroke is a major step towards improving stroke therapy techniques. Overall result found a direct and significant link between them. The results have the potential to significantly impact the field's future directions in acute ischemic stroke therapy, ultimately leading to improved patient outcomes and more individualized and potent treatment modalities.

Keywords : Vascular Reperfusion Techniques (VRT), Ischemic Stroke (IS), healthcare System (HCS), Patient Outcomes (PO).
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Mark Yang
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