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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
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