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 6, 2023

Advancements in Endovascular Interventions for Aortic Aneurysm Repair: A Comprehensive Review

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 study is to determine the advancement in endovascular interventions related to aneurysm repair. With the introduction of endovascular procedures, the concept of aortic aneurysm repair has seen a paradigm change in the constantly changing field of cardiovascular medicine. The core of our thorough analysis is summarized in this research, which explores the several innovative aspects that have elevated these procedures to the forefront of the therapy of aortic aneurysms. The research is determined by smart PLS software and generates informative results related to the descriptive statistic, correlation coefficient, and the smart PLS Algorithm model between them. We start by examining the historical background, comparing the dangers of morbidity and death that come with open surgical procedures with the less invasive age that endovascular therapies have brought about. The research describes that structure models and estimated models related to the advancement and interventions. An important turning point is the advent of endovascular stent-grafts, which represent a break from traditional techniques and a move towards a less invasive, more patient-centered approach. For determine the research used different approaches included anatomical etc. The accuracy provided by cutting-edge imaging modalities, including intravascular ultrasonography and three-dimensional angiography, is a fundamental component of these developments. The overall research found that the direct link between them is also significant link with each other. These innovations transform preoperative planning and provide doctors real-time information during procedures, improving treatment quality and lowering the chance of problems. Innovative methods combining endovascular procedures with selective open surgery are investigated as a tactical solution to the difficulties of intricate anatomical situations. This flexibility highlights the adaptability of endovascular procedures, providing customized solutions that consider each patient's specific anatomy.

Keywords : Advancements (AA), Endovascular interventions (EI), Aortic Aneurysm Repair (AAR), smart PLS Algorithm.
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