Skip to main content
SpringerLink
Log in

When Is the Wound Closed?

  • Chapter
  • First Online:
Limb Preservation for the Vascular Specialist

  • 188 Accesses

Abstract

Endovascular procedures for critical limb ischemia are generally less invasive and associated with decreased recovery time and complication rates compared to open surgical bypass. However, the former is also associated with higher reintervention rates compared to open surgery. The decision to reintervene in non-healing surgical wounds or stalled native wounds must be weighed against patient comorbidities and preferences. Strategies for revascularization should also consider factors from index procedure, medical optimization, and wound care strategies. Additional consideration must be given to consultants, but most importantly patient preference.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Fukunaga M, Kawasaki D, Nishimura M, Yamagami M, Fujiwara R, Nakata T. Clinical effects of planned endovascular therapy for critical limb ischemia patients with tissue loss. J Atheroscler Thromb. 2019;26(3):294–301.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Iida O, Nakamura M, Yamauchi Y, Fukunaga M, Yokoi Y, Yokoi H, Soga Y, Zen K, Suematsu N, Inoue N, Suzuki K. 3-Year outcomes of the OLIVE registry, a prospective multicenter study of patients with critical limb ischemia: a prospective, multi-center, three-year follow-up study on endovascular treatment for infra-inguinal vessel in patients with critical limb ischemia. Cardiovasc Intervent. 2015;8(11):1493–502.

    Article  Google Scholar 

  3. Meloni M, Izzo V, Giurato L, Del Giudice C, Da Ros V, Cervelli V, Gandini R, Uccioli L. Recurrence of critical limb ischemia after endovascular intervention in patients with diabetic foot ulcers. Adv Wound Care. 2018;7(6):171–6.

    Article  Google Scholar 

  4. Ciocan RA, Bolboacă SD, Drugan CR, Gherman CD. The pattern of risk factors in patients with critical limb ischemia. Acta Med Transilvanica. 2018;23(3):52–5.

    Google Scholar 

  5. Armstrong EJ, Alam S, Henao S, Lee AC, DeRubertis BG, Montero-Baker M, Mena C, Cua B, Palena LM, Kovach R, Chandra V. Multidisciplinary care for critical limb ischemia: current gaps and opportunities for improvement. J Endovasc Ther. 2019;26(2):199–212.

    Article  PubMed  Google Scholar 

  6. Reed GW, Salehi N, Giglou PR, Kafa R, Malik U, Maier M, Shishehbor MH. Time to wound healing and major adverse limb events in patients with critical limb ischemia treated with endovascular revascularization. Ann Vasc Surg. 2016;36:190–8.

    Article  PubMed  Google Scholar 

  7. Hater H, Halak M, Sunoqrot H, Khaitovich B, Raskin D, Silverberg D. Revascularization of multiple tibial arteries is not associated with improved limb salvage. J Vasc Surg. 2021;74(1):170–7.

    Article  PubMed  Google Scholar 

  8. Shackles C, Herman, K, Gallo V, Rundback JH. Angiographosome-directed revascularization. Endovascular Today. 2018;17(5): 52−7.

    Google Scholar 

  9. Bae JI, Won JH, Han SH, Lim SH, Hong YS, Kim JY, Kim JD, Kim JS. Endovascular revascularization for patients with critical limb ischemia: impact on wound healing and long term clinical results in 189 limbs. Korean J Radiol. 2013;14(3):430–8.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Faglia E, Clerici G, Clerissi J, Mantero M, Caminiti M, Quarantiello A, et al. When is a technically successful peripheral angioplasty effective in preventing above-the-ankle amputation in diabetic patients with critical limb ischaemia? Diabet Med. 2007;24:823–9.

    Article  CAS  PubMed  Google Scholar 

  11. Fernandez N, McEnaney R, Marone LK, Rhee RY, Leers S, Makaroun M, Chaer RA. Predictors of failure and success of tibial interventions for critical limb ischemia. J Vasc Surg. 2010;52(4):834–42.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Adams RJ. Improving health outcomes with better patient understanding and education. Risk Manag Healthcare Policy. 2010;3:61.

    Article  Google Scholar 

  13. McDermott MM. Medical management of functional impairment in peripheral artery disease: a review. Prog Cardiovasc Dis. 2018;60(6):586–92.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Chiang N, Wang J, Marie N, Wu A, Ravindra R, Robinson D. Evaluation of clinical outcomes following minor amputations in australia–an important consideration for timing of revascularisation. Ann Vasc Surg. 2021;76:389–98.

    Article  PubMed  Google Scholar 

  15. Seiler A, Jenewein J. Resilience in cancer patients. Front Psych. 2019;10:208.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Interventional Vascular and Oncologic Radiology, CLI Vascular at Palm Vascular Centers of Florida, Fort Lauderdale, FL, USA

    Timothy E. Yates

  2. Department of Vascular and Interventional Radiology, Rush University Medical Center, Chicago, IL, USA

    Sreekumar Madassery

Authors
  1. Timothy E. Yates
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sreekumar Madassery
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Rush University Medical Center, Chicago, IL, USA

    Sreekumar Madassery

  2. Rush University Medical Center, Chicago, IL, USA

    Aesha Patel

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Yates, T.E., Madassery, S. (2023). When Is the Wound Closed?. In: Madassery, S., Patel, A. (eds) Limb Preservation for the Vascular Specialist. Springer, Cham. https://doi.org/10.1007/978-3-031-36480-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-36480-8_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-36479-2

  • Online ISBN: 978-3-031-36480-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation