The angiosome concept in clinical practice: implications for patient-specific recanalization procedures

Area of Science:

• Vascular Surgery
• Interventional Cardiology

Background:

• Below-the-knee (BTK) disease causing critical limb ischemia leads to high amputation rates.
• Optimizing blood flow to the affected limb is a significant clinical challenge.

Purpose of the Study:

• To explore the angiosome concept for treating BTK disease.
• To evaluate if revascularizing angiosome-specific arteries improves limb salvage.

Main Methods:

• Review of existing concepts for BTK revascularization.
• Application of the angiosome concept, which defines tissue territories supplied by specific arteries.

Main Results:

• The angiosome concept offers a targeted approach to revascularization.
• Revascularizing the source artery of an angiosome may enhance wound healing and limb salvage.

Conclusions:

• The angiosome concept provides a framework for strategic BTK revascularization.
• Targeting angiosomes may improve outcomes in critical limb ischemia patients.