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Role of Angiosomes in Guiding Target Intervention for Open Procedures

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Limb Salvage of the Diabetic Foot

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Abstract

Peripheral arterial disease (PAD) is one of the most common disabling diseases of the elderly. Critical limb ischemia (CLI) represents the most severe progression of PAD, threatening leg amputation. Revascularization is critical for limb salvage, prolonging survival, and improving the quality of life of patients with PAD. The ‘best vessel’ approach has been the traditional strategy used by surgeons when deciding the target vessel for intervention. Recently, angiosome-targeted revascularization to maximize healing of ischemic tissue lesions of the foot has gained popularity. However, this “idealized” anatomic concept has many theoretical and practical flaws, which make it difficult to generalize in patients with CLI. Many factors, such as quality of target vessel, role of pedal arch, extensive tissue loss and angiosome variability, need to be taken into consideration and this necessitates a more individualized approach for each patient.

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Author information

Authors and Affiliations

  1. Department of Clinical and Molecular Medicine, Unit of Vascular Surgery, Sant’Andrea Hospital, Sapienza University, Rome, Italy

    Gianluca Citoni & Maurizio Taurino

  2. Department of Surgery (Vascular), Yale University School of Medicine, New Haven, CT, USA

    Bauer E. Sumpio

Authors
  1. Gianluca Citoni
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  2. Maurizio Taurino
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  3. Bauer E. Sumpio
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Corresponding author

Correspondence to Bauer E. Sumpio .

Editor information

Editors and Affiliations

  1. King’s College Hospital, London, UK

    Michael E. Edmonds

  2. School of Medicine, Yale University, New Haven, CT, USA

    Bauer E. Sumpio

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Citoni, G., Taurino, M., Sumpio, B.E. (2019). Role of Angiosomes in Guiding Target Intervention for Open Procedures. In: Edmonds, M., Sumpio, B. (eds) Limb Salvage of the Diabetic Foot. Springer, Cham. https://doi.org/10.1007/978-3-319-17918-6_25

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  • DOI: https://doi.org/10.1007/978-3-319-17918-6_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17917-9

  • Online ISBN: 978-3-319-17918-6

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