title: Angiosomes: how do they affect my treatment?
abstract: The number of diabetic patients is actually increasing all around the world, consequently, critical limb ischemia and ischemic diabetic foot disorders related to the presence of diabetic occlusive arterial disease will represent in the next few years a challenging issue for vascular specialists. Revascularization represents one step in the treatment for the multidisciplinary team, reestablishing an adequate blood flow to the wound area, essential for healing and avoiding major amputations. The targets of revascularization can be established to obtain a "complete" revascularization, treating all tibial and foot vessels or following the angiosome and wound-related artery model, obtaining direct blood flow for the wound. In this article, we summarize our experience in endovascular treatment of diabetic critical limb ischemia, focusing on the angiosome and wound-related artery model of revascularization and the technical challenges in treating below-the-knee and below-the-ankle vessels.
authors.affiliation: Interventional Radiology Unit, Policlinico Abano Terme, Paduva, Italy. Electronic address: marianopalena@hotmail.com.
authors.forename: Luis Mariano
authors.initials: LM
authors.lastname: Palena
authors.affiliation: Vascular Surgery Unit, Clinica de Marly-Hospital military central, Clinica Universitaria Colombia, Bogota, Colombia.
authors.forename: Luis Fernando
authors.initials: LF
authors.lastname: Garcia
authors.affiliation: Interventional Radiology Unit, Policlinico Abano Terme, Paduva, Italy.
authors.forename: Cesare
authors.initials: C
authors.lastname: Brigato
authors.affiliation: Interventional Radiology Unit, Policlinico Abano Terme, Paduva, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Sultato
authors.affiliation: Interventional Radiology Unit, Policlinico Abano Terme, Paduva, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Candeo
authors.affiliation: Interventional Radiology Unit, Policlinico Abano Terme, Paduva, Italy.
authors.forename: Tommaso
authors.initials: T
authors.lastname: Baccaglini
authors.affiliation: Interventional Radiology Unit, Policlinico Abano Terme, Paduva, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Manzi
mesh_terms: D000671:Amputation, Surgical / Q000379:methods; D000792:Angiography / Q000639:trends; D017130:Angioplasty / Q000379:methods*; D017719:Diabetic Foot / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging* / Q000628:therapy*; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging; D023821:Limb Salvage / Q000379:methods; D025321:Surgery, Computer-Assisted / Q000379:methods*
keywords: angiosome; below-the-ankle vessels; below-the-knee angioplasty; critical limb ischemia; diabetes; limb salvage