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Semin intervent Radiol 2018; 35(05): 406-426
DOI: 10.1055/s-0038-1676342
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

On the Cutting Edge: Wound Care for the Endovascular Specialist

Brandon Olivieri
1   Department of Interventional Radiology, Mount Sinai Medical Center, Miami, Florida
,
Timothy E. Yates
1   Department of Interventional Radiology, Mount Sinai Medical Center, Miami, Florida
,
Sofia Vianna
1   Department of Interventional Radiology, Mount Sinai Medical Center, Miami, Florida
,
Omosalewa Adenikinju
2   School of Podiatric Medicine, Barry University, Miami, Florida
,
Robert E. Beasley
1   Department of Interventional Radiology, Mount Sinai Medical Center, Miami, Florida
,
Jon Houseworth
2   School of Podiatric Medicine, Barry University, Miami, Florida
› Author Affiliations
Further Information

Publication History

Publication Date:
05 February 2019 (online)

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Abstract

Clinical outcomes in patients with critical limb ischemia (CLI) depend not only on endovascular restoration of macrovascular blood flow but also on aggressive periprocedural wound care. Education about this area of CLI therapy is essential not only to maximize the benefits of endovascular therapy but also to facilitate participation in the multidisciplinary care crucial to attaining limb salvage. In this article, we review the advances in wound care products and therapies that have granted the wound care specialist the ability to heal previously nonhealing wounds. We provide a primer on the basic science behind wound healing and the pathogenesis of ischemic wounds, familiarize the reader with methods of tissue viability assessment, and provide an overview of wound debridement techniques, dressings, hyperbaric therapy, and tissue offloading devices. Lastly, we explore emerging technology on the horizons of wound care.

Keywords

critical limb ischemia - wound care - ulcer - debridement - peripheral arterial disease - interventional radiology

Previous Presentations

Parts of the manuscript were previously presented in an education poster entitled “On the Cutting Edge of Wound Care: What Every Interventional Radiologist Needs to Know” at the Society of Interventional Radiology Annual Meeting 2018, Los Angeles, CA.


 

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