PMID- 37933151
OWN - NLM
STAT- MEDLINE
DCOM- 20240319
LR  - 20240319
IS  - 1552-6941 (Electronic)
IS  - 1534-7346 (Linking)
VI  - 23
IP  - 1
DP  - 2024 Mar
TI  - Successful Revascularization, Angiosome Concept, and Multivessel 
      Revascularization: Effects on Wound Healing: An Asian Perspective.
PG  - 12-18
LID - 10.1177/15347346231212330 [doi]
AB  - Endovascular treatment for revascularization in patients with chronic 
      limb-threatening ischemia (CLTI), which is commonly found in patients with 
      diabetes mellitus demonstrates a variable result of vessel patency, wound healing 
      rate, and limb salvage rate. The angiosome concept has been adopted to determine 
      the best target arterial path (TAP) for revascularization for wound healing in 
      CLTI patients. Recent publications demonstrated the benefit of angiosome-targeted 
      revascularization to guide the endovascular treatment in patients CLTI. The best 
      TAP under angiosome concept by direct revascularization with at least 2 of 3 
      below-the-knee arteries runoff to restore in-line pulsatile blood flow to the 
      ischemic tissue shows the best patency and high rate of wound healing. However, 
      the clinical evidence and application of the angiosome concept in daily practice 
      are difficult and not well established. The vascular territories, collateral 
      vessel, wound area, and locations which associated with angiosome are varied. 
      This article review aims to summarize the concept of angiosome-targeted 
      revascularization and multivessel revascularization for application to the 
      real-world practice under the evidence-based data.
FAU - Orrapin, Saritphat
AU  - Orrapin S
AUID- ORCID: 0000-0002-1330-6215
AD  - Vascular Surgery Division, Department of Surgery, Faculty of Medicine, Thammasat 
      University, Pathum Thani, Thailand. RINGGOLD: 37699
AD  - Thammasat University-Center of Excellence for Diabetic Foot care (TU-CDC), 
      Thammasat University Hospital, Pathum Thani, Thailand.
FAU - Siribumrungwong, Boonying
AU  - Siribumrungwong B
AD  - Vascular Surgery Division, Department of Surgery, Faculty of Medicine, Thammasat 
      University, Pathum Thani, Thailand. RINGGOLD: 37699
AD  - Center of Excellence in Applied Epidemiology, Faculty of Medicine, Thammasat 
      University Hospital, Thammasat University, Pathum Thani, Thailand. RINGGOLD: 
      176056
LA  - eng
PT  - Journal Article
DEP - 20231106
PL  - United States
TA  - Int J Low Extrem Wounds
JT  - The international journal of lower extremity wounds
JID - 101128359
SB  - IM
MH  - Humans
MH  - *Amputation, Surgical
MH  - Treatment Outcome
MH  - Vascular Surgical Procedures/adverse effects
MH  - Lower Extremity/blood supply
MH  - Limb Salvage
MH  - Wound Healing
MH  - Ischemia/surgery
MH  - Retrospective Studies
MH  - Risk Factors
MH  - *Endovascular Procedures/adverse effects
OTO - NOTNLM
OT  - angiosome concept
OT  - chronic limb-threatening ischemia
OT  - diabetic foot ulcers
OT  - lower extremity wound
OT  - multivessel revascularization
COIS- Declaration of Conflicting InterestsThe author(s) declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article.
EDAT- 2023/11/07 06:45
MHDA- 2024/03/19 06:44
CRDT- 2023/11/07 03:39
PHST- 2024/03/19 06:44 [medline]
PHST- 2023/11/07 06:45 [pubmed]
PHST- 2023/11/07 03:39 [entrez]
AID - 10.1177/15347346231212330 [doi]
PST - ppublish
SO  - Int J Low Extrem Wounds. 2024 Mar;23(1):12-18. doi: 10.1177/15347346231212330. 
      Epub 2023 Nov 6.