Collateral circulation between angiosomes in the feet of diabetic patients

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dc.authorscopusid16024976400
dc.authorscopusid56084894100
dc.authorwosidÖZÇAĞLAYAN, ÖMER/ABA-4293-2020
dc.contributor.authorOrhan, Erkan
dc.contributor.authorÖzçağlayan, Ömer
dc.date.accessioned2022-05-11T14:13:56Z
dc.date.available2022-05-11T14:13:56Z
dc.date.issued2018
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Plastik, Rekonstrüktif ve Estetik Cerrahi Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractObjectives The main factor in the healing of foot ulcers in diabetic patients is adequate perfusion. There is no consensus on whether direct or indirect revascularization is more effective in leg revascularization. At the centre of that debate, there is a disagreement about whether collateral circulation is sufficient or not. Our aim is to evaluate collateral circulation activity between angiosomes in the feet of diabetic patients by evaluating the level of occlusion in leg arteries and comparing the angiosome regions that have necrosis. Methods The study included 61 patients. All had undergone CT angiography to the lower extremity prior to any revascularization of the leg arteries between September 2014 and September 2016. Stenosis was evaluated on the anterior tibial artery, the posterior tibial artery and the peroneal artery up to the level of the ankle. The opening of the vessel wall at the narrowest part of the vessel was determined as a percentage. The areas with necrosis were determined according to the angiosomes of the posterior tibial artery, anterior tibial artery and peroneal artery vessels. Results Necrosis of the foot was most common in the posterior tibial artery angiosome. Necrosis in the posterior tibial artery angiosome was independent of the level of posterior tibial artery occlusion; however, it was associated with the occlusion of the anterior tibial artery (p<0.05). It was found that anterior tibial artery occlusion over 15% resulted in necrosis in the posterior tibial artery angiosome. Conclusions Collateral circulation between the anterior tibial artery and posterior tibial artery is active and there is almost always occlusion in the posterior tibial artery branches. The posterior tibial artery angiosome is fed by the collateral arteries of the anterior tibial artery even if there is no occlusion of posterior tibial artery at the level of the leg, so indirect revascularization on the anterior tibial artery is sufficient to provide foot circulation.
dc.identifier.doi10.1177/1708538118759250
dc.identifier.endpage439
dc.identifier.issn1708-5381
dc.identifier.issn1708-539X
dc.identifier.issue4en_US
dc.identifier.pmid29433381
dc.identifier.scopus2-s2.0-85042132878
dc.identifier.scopusqualityQ2
dc.identifier.startpage432
dc.identifier.urihttps://doi.org/10.1177/1708538118759250
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5703
dc.identifier.volume26
dc.identifier.wosWOS:000438625600014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorOrhan, Erkan
dc.institutionauthorÖzçağlayan, Ömer
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.ispartofVascular
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDiabetic foot
dc.subjectangiosomes
dc.subjectnecrosis
dc.subjectfoot arteries
dc.subjectLimb Salvage
dc.subjectFoot
dc.subjectRevascularization
dc.subjectAngioplasty
dc.titleCollateral circulation between angiosomes in the feet of diabetic patients
dc.typeArticle

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