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A Multidisciplinary Approach to Managing Ischemic Wounds and Current Treatment Options

Authors
  • Edwards, Danielle1, 2
  • Black, Alexandra T.1, 2
  • Spielfogel, William D.2
  • 1 1 , New York (United States)
  • 2 Lenox Hill Hospital Northwell, 930 5th Avenue #1e, New York, NY, 10021, USA , New York (United States)
Type
Published Article
Journal
Current Treatment Options in Cardiovascular Medicine
Publisher
Springer US
Publication Date
May 12, 2021
Volume
23
Issue
7
Identifiers
DOI: 10.1007/s11936-021-00929-y
Source
Springer Nature
Keywords
License
Yellow

Abstract

Purpose of ReviewWe discuss management of arterial wounds pertaining to clinical evaluation, noninvasive diagnostic testing, and relevant classification systems of arterial wounds. In addition, we review recent literature regarding treatment modalities of arterial wounds.Recent FindingsTreatment of arterial wounds is multifactorial and can include the following: local wound care, hyperbaric oxygen therapy, skin grafting, and biologic and regenerative medicine including gene and cellular therapy. This paper is a discussion of the various treatment options for chronic arterial wounds with a review of recent literature.SummaryChronic wounds result from impaired healing processes secondary to systemic or local factors. In order to properly manage and treat nonhealing wounds of the lower extremities, it is paramount to determine the underlying etiology or mixed etiologies contributing to the disruption of the wound-healing process in order to manage them appropriately.

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