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A Multidisciplinary Approach to Managing Ischemic Wounds and Current Treatment Options

  • Vascular Disease (V Lakhter, Section Editor)
  • Published:
Current Treatment Options in Cardiovascular Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

We discuss management of arterial wounds pertaining to clinical evaluation, noninvasive diagnostic testing, and relevant classification systems of arterial wounds. In addition, we review recent literature regarding treatment modalities of arterial wounds.

Recent Findings

Treatment of arterial wounds is multifactorial and can include the following: local wound care, hyperbaric oxygen therapy, skin grafting, and biologic and regenerative medicine including gene and cellular therapy. This paper is a discussion of the various treatment options for chronic arterial wounds with a review of recent literature.

Summary

Chronic wounds result from impaired healing processes secondary to systemic or local factors. In order to properly manage and treat nonhealing wounds of the lower extremities, it is paramount to determine the underlying etiology or mixed etiologies contributing to the disruption of the wound-healing process in order to manage them appropriately.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. New York, NY, USA

    Danielle Edwards DPM & Alexandra T. Black DPM

  2. Division of Podiatric Medicine & Surgery, Department of Orthopaedic Surgery, Lenox Hill Hospital Northwell, 930 5th Avenue #1e, New York, NY, 10021, USA

    Danielle Edwards DPM, Alexandra T. Black DPM & William D. Spielfogel DPM

Authors
  1. Danielle Edwards DPM
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  2. Alexandra T. Black DPM
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  3. William D. Spielfogel DPM
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Correspondence to William D. Spielfogel DPM.

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Conflict of Interest

Danielle Edwards declares that she has no conflict of interest. Alexandra T. Black declares that she has no conflict of interest. William D. Spielfogel declares that he has no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Vascular Disease

Appendix

Appendix

Fig. 1
figure 1

Flowchart illustrating diagnostic strategy for treating chronic wounds and infection work up based on bone involvement (probe to bone test).

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Edwards, D., Black, A.T. & Spielfogel, W.D. A Multidisciplinary Approach to Managing Ischemic Wounds and Current Treatment Options. Curr Treat Options Cardio Med 23, 51 (2021). https://doi.org/10.1007/s11936-021-00929-y

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  • DOI: https://doi.org/10.1007/s11936-021-00929-y

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