Angiosome perfusion of the foot: An old theory or a new issue?

Van den Berg, Josua C. (2018). Angiosome perfusion of the foot: An old theory or a new issue? Seminars in vascular surgery, 31(2-4), pp. 56-65. Elsevier 10.1053/j.semvascsurg.2018.12.002

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The angiosome concept of foot perfusion was conceived based on anatomical studies of arterial circulation and used for planning surgical procedures, tissue reconstruction, and amputation. Its application is relevant in diabetic patients with critical limb ischemia and nonhealing foot ulcer or amputation. An understanding of foot angiosome anatomy is useful for predicting healing and planning arterial revascularization. A review of the literature, including the most recent systematic reviews and meta-analyses, indicates improved wound healing is achieved when the angiosome concept is followed. The greatest value of angiosome-based revascularization is in patients with lesion(s) limited to a single angiosome, or to achieve optimal healing of amputation sites. Future research should focus on proper identification of (imaging) modalities to determine the hemodynamic and functional changes before and after revascularization, thus identifying the "real" angiosome and directing optimal therapy.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Van den Berg, Josua Cornelis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1558-4518

Publisher:

Elsevier

Language:

English

Submitter:

Maria de Fatima Henriques Bernardo

Date Deposited:

03 Oct 2019 09:56

Last Modified:

22 Oct 2019 16:58

Publisher DOI:

10.1053/j.semvascsurg.2018.12.002

PubMed ID:

30876642

BORIS DOI:

10.7892/boris.130317

URI:

https://boris.unibe.ch/id/eprint/130317

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