What is it about?
Intentional Topographic Revascularization can be defined as intentional orientation of the blood flow towards ischemic foot wounds territories using all accessible arterial conduits (from the pedal trunks, the foot arches, to the large and small collaterals and their important connections). This approach can be also clinically formulated by employing specific “source artery,” and characteristic regional foot collaterals to improve regional foot vasculature. This intentional approach finally encourages the nourishment of targeted hypoxic tissue, for better and faster cicatrization and rehabilitation of the treated limb.
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Why is it important?
Beyond undeniable progress in revascularization techniques and devices, the intentional orientation of the oxygenated blood flow towards distinct foot territories, using all available arterial trunks and collaterals, may afford rewarding results in wound healing and limb salvage.
Perspectives
Future developments in intentional topographic revascularization methods (regardless various labelings encountered in literature) may appoint novel interpretations in wound treatment, for tissue regeneration knowledge, and obviously introduce new challenges and opportunities in advancing understanding about peripheral arterial disease.
MD, PhD, Vlad Adrian Alexandrescu
Consultant, University Hospital CHU Liège
Read the Original
This page is a summary of: Applicability of Intentional Topographic Revascularization Following the Angiosome Model in Patients with Chronic Limb-Threatening Ischemia: From Theory, to Current Clinical Challenges, Clinics in Surgery, April 2024, Remedy Publications, LLC,
DOI: 10.25107/cis-v9-id3701.
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