Therapeutic Effects of Successful Angioplasty on the Aorta and Lower Limb Arteries on the Healing of Chronic Ischemic Wounds
Background: Chronic wounds are a serious problem for the patient and can increase the socioeconomic burden on the healthcare system and community. This study aimed at investigating the effect of angioplasty on chronic ischemic wound healing. Methods: This study was conducted in Sina Hospital, affi...
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doaj-4e746d05b7a14dca9bd503a4edf8cf352020-11-25T04:10:31ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712016-10-01112431Therapeutic Effects of Successful Angioplasty on the Aorta and Lower Limb Arteries on the Healing of Chronic Ischemic WoundsMohammad Reza Zafarghandi0Morteza Taghavi1Pezhman Farshidmehr2Azadeh Sayarifard3Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Center for Academic and Health Policy, Tehran University of Medical Sciences, Tehran, Iran. Background: Chronic wounds are a serious problem for the patient and can increase the socioeconomic burden on the healthcare system and community. This study aimed at investigating the effect of angioplasty on chronic ischemic wound healing. Methods: This study was conducted in Sina Hospital, affiliated to Tehran University of Medical Sciences. Thirty-eight patients with chronic ischemic wounds and a suspicion of the narrowing or blockage of arteries underwent peripheral angiography. Arteries under angioplasty in different patients comprised the aorta and the iliac, superficial femoral, popliteal, and tibial arteries. The patients were evaluated in terms of wound healing in weekly and monthly visits. Wound healing was measured based on the Bates–Jensen criteria. Results: The patients were followed up at a median of 4.5 months. The mean age of the patients was 61.1 ± 7.5 years. Of 38 patients, 12 (31.6%) were female. The involvement of arteries on angiography consisted of 16 (42.2%) cases of total occlusion and 22 (57.8%) cases of stenosis. Following angioplasty, the level of the narrowing of arteries and the wound score showed a significant reduction in all the patients (p value < 0.001). Wound healing was observed in 29 (76.3%) patients. Hematoma, pseudoaneurysm, and thrombosis comprised the complications. No significant differences were observed in terms of age, gender, and history of risk factors between the 2 groups of wound healing and nonhealing. The wound evaluation scores before (p value = 0.044) and after (p value < 0.001) angioplasty were lower in the wound healing group than in the nonhealing group. Conclusion: Angioplasty of the aorta and lower limb arteries improved the healing of chronic ischemic wounds in our patients. https://jthc.tums.ac.ir/index.php/jthc/article/view/584Wound healing • Angioplasty • Aorta • Lower extremity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohammad Reza Zafarghandi Morteza Taghavi Pezhman Farshidmehr Azadeh Sayarifard |
spellingShingle |
Mohammad Reza Zafarghandi Morteza Taghavi Pezhman Farshidmehr Azadeh Sayarifard Therapeutic Effects of Successful Angioplasty on the Aorta and Lower Limb Arteries on the Healing of Chronic Ischemic Wounds Journal of Tehran University Heart Center Wound healing • Angioplasty • Aorta • Lower extremity |
author_facet |
Mohammad Reza Zafarghandi Morteza Taghavi Pezhman Farshidmehr Azadeh Sayarifard |
author_sort |
Mohammad Reza Zafarghandi |
title |
Therapeutic Effects of Successful Angioplasty on the Aorta and Lower Limb Arteries on the Healing of Chronic Ischemic Wounds |
title_short |
Therapeutic Effects of Successful Angioplasty on the Aorta and Lower Limb Arteries on the Healing of Chronic Ischemic Wounds |
title_full |
Therapeutic Effects of Successful Angioplasty on the Aorta and Lower Limb Arteries on the Healing of Chronic Ischemic Wounds |
title_fullStr |
Therapeutic Effects of Successful Angioplasty on the Aorta and Lower Limb Arteries on the Healing of Chronic Ischemic Wounds |
title_full_unstemmed |
Therapeutic Effects of Successful Angioplasty on the Aorta and Lower Limb Arteries on the Healing of Chronic Ischemic Wounds |
title_sort |
therapeutic effects of successful angioplasty on the aorta and lower limb arteries on the healing of chronic ischemic wounds |
publisher |
Tehran University of Medical Sciences |
series |
Journal of Tehran University Heart Center |
issn |
1735-8620 2008-2371 |
publishDate |
2016-10-01 |
description |
Background: Chronic wounds are a serious problem for the patient and can increase the socioeconomic burden on the healthcare system and community. This study aimed at investigating the effect of angioplasty on chronic ischemic wound healing.
Methods: This study was conducted in Sina Hospital, affiliated to Tehran University of Medical Sciences. Thirty-eight patients with chronic ischemic wounds and a suspicion of the narrowing or blockage of arteries underwent peripheral angiography. Arteries under angioplasty in different patients comprised the aorta and the iliac, superficial femoral, popliteal, and tibial arteries. The patients were evaluated in terms of wound healing in weekly and monthly visits. Wound healing was measured based on the Bates–Jensen criteria.
Results: The patients were followed up at a median of 4.5 months. The mean age of the patients was 61.1 ± 7.5 years. Of 38 patients, 12 (31.6%) were female. The involvement of arteries on angiography consisted of 16 (42.2%) cases of total occlusion and 22 (57.8%) cases of stenosis. Following angioplasty, the level of the narrowing of arteries and the wound score showed a significant reduction in all the patients (p value < 0.001). Wound healing was observed in 29 (76.3%) patients. Hematoma, pseudoaneurysm, and thrombosis comprised the complications. No significant differences were observed in terms of age, gender, and history of risk factors between the 2 groups of wound healing and nonhealing. The wound evaluation scores before (p value = 0.044) and after (p value < 0.001) angioplasty were lower in the wound healing group than in the nonhealing group.
Conclusion: Angioplasty of the aorta and lower limb arteries improved the healing of chronic ischemic wounds in our patients.
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topic |
Wound healing • Angioplasty • Aorta • Lower extremity |
url |
https://jthc.tums.ac.ir/index.php/jthc/article/view/584 |
work_keys_str_mv |
AT mohammadrezazafarghandi therapeuticeffectsofsuccessfulangioplastyontheaortaandlowerlimbarteriesonthehealingofchronicischemicwounds AT mortezataghavi therapeuticeffectsofsuccessfulangioplastyontheaortaandlowerlimbarteriesonthehealingofchronicischemicwounds AT pezhmanfarshidmehr therapeuticeffectsofsuccessfulangioplastyontheaortaandlowerlimbarteriesonthehealingofchronicischemicwounds AT azadehsayarifard therapeuticeffectsofsuccessfulangioplastyontheaortaandlowerlimbarteriesonthehealingofchronicischemicwounds |
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