The Feasibility of Angiosome-Targeted Endovascular Treatment in @entity1 with XXXX and Foot Ulcer.

@entity1 @entity1066 @entity63
BACKGROUND: To determine wound location according to the angiosome concept and to investigate the feasibility and success of angiosome-based revascularization in below-the-knee (BTK) arteries. METHODS: This was a retrospective study of 161 @entity1 (67.5      25.5  years, 66.5% diabetics) with @entity63 and a foot ulcer, stage Rutherford 5-6, who underwent percutaneous transluminal angioplasty on BTK arteries in 2012. We evaluated feasibility of angiosome-targeted revascularization and the number of angiosomes affected by a wound in each @entity1 . @entity1 were divided into 3 groups depending on how many BTK vessels were suitable for revascularization. The feasibility was analyzed in each group and in relation to number of affected angiosomes. RESULTS: The wound(s) interfered with one angiosome in only 39 (24.0%) cases. Direct flow into affected angiosome was successfully achieved in 98 (60.9%) cases. If @entity1066 was limited in one angiosome, the targeted revascularisation was possible in 27 cases (69.2%), if @entity1066 was extended over 2 angiosomes it was possible in 65 cases (86.7%), if 3 angiosomes were affected it was possible in 36 cases (85.7%), when 4 angiosomes were affected the rate dropped to 25.0% and @entity1066 extended over 5 angiosomes had no possibility of revascularization. CONCLUSIONS: In @entity63 , the tissue lesion affects several angiosomes in majority of the cases. In thus far published literature, there is existence of more approaches of angiosome-targeted revascularization when more than one angiosome is clinically involved and therefore consensus needs to be achieved for the accurate definition.
