Page 11 - Vasoclick emagazine_issue 1_Neat
P. 11
Conservative Wound Care: A Relevant Approach to Manage Diabetic Foot Ulcers 10
Conclusion vascular surgery lower extremity threatened limb
classification system: risk stratification based on wound,
The study showed that conservative wound ischemia, and foot infection (WIfI). J Vasc Surg 2014;59
management approach results in overall low rate 220- 234.e1-2. doi: 10.1016/j.jvs.2013.08.003.
of limb loss and a high rate of both index and 9) Darling JD, McCallum JC, Soden PA, et al. Predictive
ability of the society for vascular surgery wound,
recurrent wound healing. Therefore, a ischemia, and foot Infection (WIfI) classification system
11
multidisciplinary and aggressive wound care after first-time lower extremity revascularizations. J Vasc
Surg 2017;65:695–704. doi: 10.1016/j.jvs.2016.09.055.
regimen should be pursued in patients with
diabetic microvascular disease in the setting of 10) Conte MS, Mills JL, Bradbury AW, et al. Implementing
global chronic limb-threatening ischemia guidelines in
mild to moderate ischemia. 11 clinical practice: utility of the society for vascular surgery
threatened limb classification system (WIfI). J Vasc Surg
2020;72:1451–1452. doi: 10.1016/j.jvs.2020.06.049.
References
11) Andersen JC, Leong BV, Gabel JA, Murga AG, Patel ST,
Abou-Zamzam AM Jr, Teruya TH, Bianchi C. Conservative
1) Fowkes FG, Rudan D, Rudan I, et al. Comparison of Management of Non-Infected Diabetic Foot Ulcers
global estimates of prevalence and risk factors for Achieves Reliable Wound Healing and Limb Salvage in the
peripheral artery disease in 2000 and 2010: a systematic Setting of Mild-Moderate Ischemia. Ann Vasc Surg
review and analysis. Lancet 2013;382:1329–1340. doi: 2021:S0890-5096(21)00938-9. doi:
10.1016/S0140- 6736(13)61249- 0. 10.1016/j.avsg.2021.11.011.
2) Marone EM, Cozzolino P, Ciampichini R, et al. Peripheral
arterial disease in diabetic patients: a long-term
population-based study on occurrence, outcomes and
cost. J Cardiovasc Surg (Torino) 2018;59:572–579. doi:
10.23736/S0021-9509.18. 10408.
3) Possagnoli I, Bianchi C, Chiriano J, et al. Clinical
outcomes of patients with peripheral artery disease and
lower extremity wounds based on a predetermined
intention-to-treat strategy. Semin Vasc Surg
2015;28:184–189. doi: 10.1053/j.semvascsurg.
2016.01.001.
4) Gabel JA, Bianchi C, Possagnoli I, et al. A conservative
approach to select patients with ischemic wounds is safe
and effective in the setting of deferred revascularization. J
Vasc Surg 2020;71:1286–1295. doi:
10.1016/j.jvs.2019.06.199.
5) Conte MS, Bradbury AW, Kolh P, et al. Global vascular
guidelines on the management of chronic
limb-threatening ischemia. J Vasc Surg
2019;69(6S):3S–125S. doi: 10.1016/j. jvs.2019.02.016.
6) Possagnoli I, Bianchi C, Chiriano J, et al. Long-term
outcome of patients with peripheral arterial disease and
tissue loss stratified to a nonrevascularization approach.
Ann Vasc Surg 2017;39:270–275. doi:
10.1016/j.avsg.2016.03.036.
7) Gabel J, Bianchi C, Possagnoli I, et al. Multidisciplinary
approach achieves limb salvage without revascularization
in patients with mild to moderate ischemia and tissue
loss. J Vasc Surg 2020;71:2073–2080. doi:
10.1016/j.jvs.2019.07.103.
8) Mills JL, Conte MS, Armstrong DG, et al. The society for