The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia

Research output: Contribution to journalEditorialResearchpeer-review

Standard

The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia. / Patrone, Lorenzo; Pasqui, Edoardo; Conte, Michael S.; Farber, Alik; Ferraresi, Roberto; Menard, Matthew; Mills, Joseph L.; Rundback, John; Schneider, Peter; Ysa, August; Abhishek, Kumar; Adams, George L.; Ahmad, Naseer; Ahmed, Irfan; Alexandrescu, Vlad A.; Amor, Max; Alper, David; Andrassy, Martin; Attinger, Christopher; Baadh, Andy; Barakat, Hashem; Biasi, Lukla; Bisdas, Theodosios; Bhatti, Zagum; Blessing, Erwin; Bonaca, Marc P.; Bonvini, Stefano; Bosiers, Michel; Bradbury, Andrew W.; Beasley, Robert; Behrendt, Christian Alexander; Brodmann, Marianne; Cabral, Gonzalo; Cancellieri, Roberto; Casini, Andrea; Chandra, Venita; Chisci, Emiliano; Chohan, Omar; Choke, Edward T.C.; Chong, Patrick F.S.; Clerici, Giacomo; Coscas, Raphael; Costantino, Mary; Dalla Paola, Luca; Dand, Sabeen; Davies, Robert S.M.; D’Oria, Mario; Diamantopoulos, Athanasios; Debus, Sebastian; Deloose, Koen; Del Giudice, Costantino; Donato, Gianmarco de; Rubertis, Brian De; Paul De Vries, Jean; Dias, Nuno V.; Diaz-Sandoval, Larry; Dick, Florian; Donas, Konstantinos; Dua, Anahita; Fanelli, Fabrizio; Fazzini, Stefano; Foteh, Mazin; Gandini, Roberto; Gargiulo, Mauro; Garriboli, Luca; Genovese, Elizabeth A.; Gifford, Edward; Goueffic, Yann; Goverde, Peter; Chand Gupta, Prem; Hinchliffe, Robert; Holden, Andrew; Houlind, Kim C.; Howard, Dominic P.J.; Huasen, Bella; Isernia, Giacomo; Katsanos, Konstantinos; Katzen, Barry; Kolh, Philippe; Koncar, Igor; Korosoglou, Grigorios; Krishnan, Prakash; Kroencke, Thomas; Krokidis, Miltiadis; Kumarasamy, Arun; Hayes, Paul; Iida, Osamu; Alejandre Lafont, Enrique; Langhoff, Ralf; Lecis, Alexandre; Lessne, Mark; Lichaa, Hady; Lichtenberg, Michael; Lobato, Marta; Lopes, Alice; Loreni, Giorgio; Lucatelli, Pierleone; Madassery, Sreekumar; Maene, Lieven; Manzi, Marco; Maresch, Martin; Santhosh Mathews, Jay; McCaslin, James; Micari, Antonio; Michelagnoli, Stefano; Migliara, Bruno; Morgan, Robert; Morelli, Luis; Morosetti, Daniele; Mouawad, Nicolas; Moxey, Paul; Müller-Hülsbeck, Stefan; Mustapha, Jihad; Nakama, Tatsuya; Nasr, Bahaa; N’dandu, Zola; Neville, Richard; Noory, Elias; Nordanstig, Joakim; Noronen, Katariina; Mariano Palena, Luis; Parlani, Gianbattista; Patel, Ashish S.; Patel, Parag; Patel, Rafiuddin; Patel, Sanjay; Pena, Costantino; Perkov, Drazen; Portou, Mark; Pratesi, Giovanni; Rammos, Christos; Reekers, Jim; Riambau, Vicente; Roy, Trisha; Rosenfield, Kenneth; Antonella Ruffino, Maria; Saab, Fadi; Saratzis, Athanasios; Sbarzaglia, Paolo; Schmidt, Andrej; Secemsky, Eric; Siah, Michael; Sillesen, Henrik; Simonte, Gioele; Sirvent, Marc; Sommerset, Jill; Steiner, Sabine; Sakr, Ahmed; Scheinert, Dierk; Shishebor, Mehdi; Spiliopoulos, Stavros; Spinelli, Alessio; Stravoulakis, Konstantinos; Taneva, Gergana; Teso, Desarom; Tessarek, Joerg; Theivacumar, Selva; Thomas, Anish; Thomas, Shannon; Thulasidasan, Narayan; Torsello, Giovanni; Tripathi, Ramesh; Troisi, Nicola; Tummala, Srini; Tummala, Venkat; Twine, Christopher; Uberoi, Raman; Ucci, Alessandro; Valenti, Domenico; van den Berg, Jos; van den Heuvel, Daniel; Van Herzeele, Isabelle; Varcoe, Ramon; Vega de Ceniga, Melina; Veith, Frank J.; Venermo, Maarit; Vijaynagar, Badri; Virdee, Sanjiv; Von Stempel, Conrad; Voûte, Michiel T.; Khee Yeung, Kak; Zeller, Thomas; Zayed, Hany; Montero Baker, Miguel.

In: Journal of Endovascular Therapy, 2024.

Research output: Contribution to journalEditorialResearchpeer-review

Harvard

Patrone, L, Pasqui, E, Conte, MS, Farber, A, Ferraresi, R, Menard, M, Mills, JL, Rundback, J, Schneider, P, Ysa, A, Abhishek, K, Adams, GL, Ahmad, N, Ahmed, I, Alexandrescu, VA, Amor, M, Alper, D, Andrassy, M, Attinger, C, Baadh, A, Barakat, H, Biasi, L, Bisdas, T, Bhatti, Z, Blessing, E, Bonaca, MP, Bonvini, S, Bosiers, M, Bradbury, AW, Beasley, R, Behrendt, CA, Brodmann, M, Cabral, G, Cancellieri, R, Casini, A, Chandra, V, Chisci, E, Chohan, O, Choke, ETC, Chong, PFS, Clerici, G, Coscas, R, Costantino, M, Dalla Paola, L, Dand, S, Davies, RSM, D’Oria, M, Diamantopoulos, A, Debus, S, Deloose, K, Del Giudice, C, Donato, GD, Rubertis, BD, Paul De Vries, J, Dias, NV, Diaz-Sandoval, L, Dick, F, Donas, K, Dua, A, Fanelli, F, Fazzini, S, Foteh, M, Gandini, R, Gargiulo, M, Garriboli, L, Genovese, EA, Gifford, E, Goueffic, Y, Goverde, P, Chand Gupta, P, Hinchliffe, R, Holden, A, Houlind, KC, Howard, DPJ, Huasen, B, Isernia, G, Katsanos, K, Katzen, B, Kolh, P, Koncar, I, Korosoglou, G, Krishnan, P, Kroencke, T, Krokidis, M, Kumarasamy, A, Hayes, P, Iida, O, Alejandre Lafont, E, Langhoff, R, Lecis, A, Lessne, M, Lichaa, H, Lichtenberg, M, Lobato, M, Lopes, A, Loreni, G, Lucatelli, P, Madassery, S, Maene, L, Manzi, M, Maresch, M, Santhosh Mathews, J, McCaslin, J, Micari, A, Michelagnoli, S, Migliara, B, Morgan, R, Morelli, L, Morosetti, D, Mouawad, N, Moxey, P, Müller-Hülsbeck, S, Mustapha, J, Nakama, T, Nasr, B, N’dandu, Z, Neville, R, Noory, E, Nordanstig, J, Noronen, K, Mariano Palena, L, Parlani, G, Patel, AS, Patel, P, Patel, R, Patel, S, Pena, C, Perkov, D, Portou, M, Pratesi, G, Rammos, C, Reekers, J, Riambau, V, Roy, T, Rosenfield, K, Antonella Ruffino, M, Saab, F, Saratzis, A, Sbarzaglia, P, Schmidt, A, Secemsky, E, Siah, M, Sillesen, H, Simonte, G, Sirvent, M, Sommerset, J, Steiner, S, Sakr, A, Scheinert, D, Shishebor, M, Spiliopoulos, S, Spinelli, A, Stravoulakis, K, Taneva, G, Teso, D, Tessarek, J, Theivacumar, S, Thomas, A, Thomas, S, Thulasidasan, N, Torsello, G, Tripathi, R, Troisi, N, Tummala, S, Tummala, V, Twine, C, Uberoi, R, Ucci, A, Valenti, D, van den Berg, J, van den Heuvel, D, Van Herzeele, I, Varcoe, R, Vega de Ceniga, M, Veith, FJ, Venermo, M, Vijaynagar, B, Virdee, S, Von Stempel, C, Voûte, MT, Khee Yeung, K, Zeller, T, Zayed, H & Montero Baker, M 2024, 'The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia', Journal of Endovascular Therapy. https://doi.org/10.1177/15266028241231745

APA

Patrone, L., Pasqui, E., Conte, M. S., Farber, A., Ferraresi, R., Menard, M., Mills, J. L., Rundback, J., Schneider, P., Ysa, A., Abhishek, K., Adams, G. L., Ahmad, N., Ahmed, I., Alexandrescu, V. A., Amor, M., Alper, D., Andrassy, M., Attinger, C., ... Montero Baker, M. (Accepted/In press). The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia. Journal of Endovascular Therapy. https://doi.org/10.1177/15266028241231745

Vancouver

Patrone L, Pasqui E, Conte MS, Farber A, Ferraresi R, Menard M et al. The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia. Journal of Endovascular Therapy. 2024. https://doi.org/10.1177/15266028241231745

Author

Patrone, Lorenzo ; Pasqui, Edoardo ; Conte, Michael S. ; Farber, Alik ; Ferraresi, Roberto ; Menard, Matthew ; Mills, Joseph L. ; Rundback, John ; Schneider, Peter ; Ysa, August ; Abhishek, Kumar ; Adams, George L. ; Ahmad, Naseer ; Ahmed, Irfan ; Alexandrescu, Vlad A. ; Amor, Max ; Alper, David ; Andrassy, Martin ; Attinger, Christopher ; Baadh, Andy ; Barakat, Hashem ; Biasi, Lukla ; Bisdas, Theodosios ; Bhatti, Zagum ; Blessing, Erwin ; Bonaca, Marc P. ; Bonvini, Stefano ; Bosiers, Michel ; Bradbury, Andrew W. ; Beasley, Robert ; Behrendt, Christian Alexander ; Brodmann, Marianne ; Cabral, Gonzalo ; Cancellieri, Roberto ; Casini, Andrea ; Chandra, Venita ; Chisci, Emiliano ; Chohan, Omar ; Choke, Edward T.C. ; Chong, Patrick F.S. ; Clerici, Giacomo ; Coscas, Raphael ; Costantino, Mary ; Dalla Paola, Luca ; Dand, Sabeen ; Davies, Robert S.M. ; D’Oria, Mario ; Diamantopoulos, Athanasios ; Debus, Sebastian ; Deloose, Koen ; Del Giudice, Costantino ; Donato, Gianmarco de ; Rubertis, Brian De ; Paul De Vries, Jean ; Dias, Nuno V. ; Diaz-Sandoval, Larry ; Dick, Florian ; Donas, Konstantinos ; Dua, Anahita ; Fanelli, Fabrizio ; Fazzini, Stefano ; Foteh, Mazin ; Gandini, Roberto ; Gargiulo, Mauro ; Garriboli, Luca ; Genovese, Elizabeth A. ; Gifford, Edward ; Goueffic, Yann ; Goverde, Peter ; Chand Gupta, Prem ; Hinchliffe, Robert ; Holden, Andrew ; Houlind, Kim C. ; Howard, Dominic P.J. ; Huasen, Bella ; Isernia, Giacomo ; Katsanos, Konstantinos ; Katzen, Barry ; Kolh, Philippe ; Koncar, Igor ; Korosoglou, Grigorios ; Krishnan, Prakash ; Kroencke, Thomas ; Krokidis, Miltiadis ; Kumarasamy, Arun ; Hayes, Paul ; Iida, Osamu ; Alejandre Lafont, Enrique ; Langhoff, Ralf ; Lecis, Alexandre ; Lessne, Mark ; Lichaa, Hady ; Lichtenberg, Michael ; Lobato, Marta ; Lopes, Alice ; Loreni, Giorgio ; Lucatelli, Pierleone ; Madassery, Sreekumar ; Maene, Lieven ; Manzi, Marco ; Maresch, Martin ; Santhosh Mathews, Jay ; McCaslin, James ; Micari, Antonio ; Michelagnoli, Stefano ; Migliara, Bruno ; Morgan, Robert ; Morelli, Luis ; Morosetti, Daniele ; Mouawad, Nicolas ; Moxey, Paul ; Müller-Hülsbeck, Stefan ; Mustapha, Jihad ; Nakama, Tatsuya ; Nasr, Bahaa ; N’dandu, Zola ; Neville, Richard ; Noory, Elias ; Nordanstig, Joakim ; Noronen, Katariina ; Mariano Palena, Luis ; Parlani, Gianbattista ; Patel, Ashish S. ; Patel, Parag ; Patel, Rafiuddin ; Patel, Sanjay ; Pena, Costantino ; Perkov, Drazen ; Portou, Mark ; Pratesi, Giovanni ; Rammos, Christos ; Reekers, Jim ; Riambau, Vicente ; Roy, Trisha ; Rosenfield, Kenneth ; Antonella Ruffino, Maria ; Saab, Fadi ; Saratzis, Athanasios ; Sbarzaglia, Paolo ; Schmidt, Andrej ; Secemsky, Eric ; Siah, Michael ; Sillesen, Henrik ; Simonte, Gioele ; Sirvent, Marc ; Sommerset, Jill ; Steiner, Sabine ; Sakr, Ahmed ; Scheinert, Dierk ; Shishebor, Mehdi ; Spiliopoulos, Stavros ; Spinelli, Alessio ; Stravoulakis, Konstantinos ; Taneva, Gergana ; Teso, Desarom ; Tessarek, Joerg ; Theivacumar, Selva ; Thomas, Anish ; Thomas, Shannon ; Thulasidasan, Narayan ; Torsello, Giovanni ; Tripathi, Ramesh ; Troisi, Nicola ; Tummala, Srini ; Tummala, Venkat ; Twine, Christopher ; Uberoi, Raman ; Ucci, Alessandro ; Valenti, Domenico ; van den Berg, Jos ; van den Heuvel, Daniel ; Van Herzeele, Isabelle ; Varcoe, Ramon ; Vega de Ceniga, Melina ; Veith, Frank J. ; Venermo, Maarit ; Vijaynagar, Badri ; Virdee, Sanjiv ; Von Stempel, Conrad ; Voûte, Michiel T. ; Khee Yeung, Kak ; Zeller, Thomas ; Zayed, Hany ; Montero Baker, Miguel. / The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia. In: Journal of Endovascular Therapy. 2024.

Bibtex

@article{2c7627b284e649ecb92a0da617b42196,
title = "The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia",
abstract = "This editorial assembles endovascular specialists from diverse clinical backgrounds and nationalities with a global call to address key challenges to enhance revascularization in chronic limb-threatening ischemia (CLTI) patients.• Dedicated below-the-ankle (BTA) angiography and revascularization is underutilized in ischemic foot treatment. Existing guidelines do not address comprehensive BTA vessel analysis. CLTI trials also often lack data on in-line arterial flow to the ischemic lesion and BTA vessel evaluation, hindering outcome assessment.• Dedicated multi-planar angiographic evaluation of the distal microcirculation is key: Direct arterial flow or good-quality collaterals are crucial in influencing wound healing and need to be assessed diligently to the level of the distal ischemic wound territory, termed “woundosome.”• An important primary emphasis of future trials should be on validating technologies and strategies for assessing tissue perfusion before, during, and after revascularization undertaken to heal tissue loss in CLTI patients. This will allow determination of a potentially significant delta in tissue perfusion prior to and following intervention at the “woundosome” level. Once changes in arterial perfusion have been identified as positively correlated to wound healing, these could serve as a much-needed novel primary technical outcome measure for patients with tissue loss undergoing surgical, hybrid, or endovascular revascularization.",
author = "Lorenzo Patrone and Edoardo Pasqui and Conte, {Michael S.} and Alik Farber and Roberto Ferraresi and Matthew Menard and Mills, {Joseph L.} and John Rundback and Peter Schneider and August Ysa and Kumar Abhishek and Adams, {George L.} and Naseer Ahmad and Irfan Ahmed and Alexandrescu, {Vlad A.} and Max Amor and David Alper and Martin Andrassy and Christopher Attinger and Andy Baadh and Hashem Barakat and Lukla Biasi and Theodosios Bisdas and Zagum Bhatti and Erwin Blessing and Bonaca, {Marc P.} and Stefano Bonvini and Michel Bosiers and Bradbury, {Andrew W.} and Robert Beasley and Behrendt, {Christian Alexander} and Marianne Brodmann and Gonzalo Cabral and Roberto Cancellieri and Andrea Casini and Venita Chandra and Emiliano Chisci and Omar Chohan and Choke, {Edward T.C.} and Chong, {Patrick F.S.} and Giacomo Clerici and Raphael Coscas and Mary Costantino and {Dalla Paola}, Luca and Sabeen Dand and Davies, {Robert S.M.} and Mario D{\textquoteright}Oria and Athanasios Diamantopoulos and Sebastian Debus and Koen Deloose and {Del Giudice}, Costantino and Donato, {Gianmarco de} and Rubertis, {Brian De} and {Paul De Vries}, Jean and Dias, {Nuno V.} and Larry Diaz-Sandoval and Florian Dick and Konstantinos Donas and Anahita Dua and Fabrizio Fanelli and Stefano Fazzini and Mazin Foteh and Roberto Gandini and Mauro Gargiulo and Luca Garriboli and Genovese, {Elizabeth A.} and Edward Gifford and Yann Goueffic and Peter Goverde and {Chand Gupta}, Prem and Robert Hinchliffe and Andrew Holden and Houlind, {Kim C.} and Howard, {Dominic P.J.} and Bella Huasen and Giacomo Isernia and Konstantinos Katsanos and Barry Katzen and Philippe Kolh and Igor Koncar and Grigorios Korosoglou and Prakash Krishnan and Thomas Kroencke and Miltiadis Krokidis and Arun Kumarasamy and Paul Hayes and Osamu Iida and {Alejandre Lafont}, Enrique and Ralf Langhoff and Alexandre Lecis and Mark Lessne and Hady Lichaa and Michael Lichtenberg and Marta Lobato and Alice Lopes and Giorgio Loreni and Pierleone Lucatelli and Sreekumar Madassery and Lieven Maene and Marco Manzi and Martin Maresch and {Santhosh Mathews}, Jay and James McCaslin and Antonio Micari and Stefano Michelagnoli and Bruno Migliara and Robert Morgan and Luis Morelli and Daniele Morosetti and Nicolas Mouawad and Paul Moxey and Stefan M{\"u}ller-H{\"u}lsbeck and Jihad Mustapha and Tatsuya Nakama and Bahaa Nasr and Zola N{\textquoteright}dandu and Richard Neville and Elias Noory and Joakim Nordanstig and Katariina Noronen and {Mariano Palena}, Luis and Gianbattista Parlani and Patel, {Ashish S.} and Parag Patel and Rafiuddin Patel and Sanjay Patel and Costantino Pena and Drazen Perkov and Mark Portou and Giovanni Pratesi and Christos Rammos and Jim Reekers and Vicente Riambau and Trisha Roy and Kenneth Rosenfield and {Antonella Ruffino}, Maria and Fadi Saab and Athanasios Saratzis and Paolo Sbarzaglia and Andrej Schmidt and Eric Secemsky and Michael Siah and Henrik Sillesen and Gioele Simonte and Marc Sirvent and Jill Sommerset and Sabine Steiner and Ahmed Sakr and Dierk Scheinert and Mehdi Shishebor and Stavros Spiliopoulos and Alessio Spinelli and Konstantinos Stravoulakis and Gergana Taneva and Desarom Teso and Joerg Tessarek and Selva Theivacumar and Anish Thomas and Shannon Thomas and Narayan Thulasidasan and Giovanni Torsello and Ramesh Tripathi and Nicola Troisi and Srini Tummala and Venkat Tummala and Christopher Twine and Raman Uberoi and Alessandro Ucci and Domenico Valenti and {van den Berg}, Jos and {van den Heuvel}, Daniel and {Van Herzeele}, Isabelle and Ramon Varcoe and {Vega de Ceniga}, Melina and Veith, {Frank J.} and Maarit Venermo and Badri Vijaynagar and Sanjiv Virdee and {Von Stempel}, Conrad and Vo{\^u}te, {Michiel T.} and {Khee Yeung}, Kak and Thomas Zeller and Hany Zayed and {Montero Baker}, Miguel",
year = "2024",
doi = "10.1177/15266028241231745",
language = "English",
journal = "Journal of Endovascular Therapy",
issn = "1526-6028",
publisher = "SAGE Publications",

}

RIS

TY - JOUR

T1 - The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia

AU - Patrone, Lorenzo

AU - Pasqui, Edoardo

AU - Conte, Michael S.

AU - Farber, Alik

AU - Ferraresi, Roberto

AU - Menard, Matthew

AU - Mills, Joseph L.

AU - Rundback, John

AU - Schneider, Peter

AU - Ysa, August

AU - Abhishek, Kumar

AU - Adams, George L.

AU - Ahmad, Naseer

AU - Ahmed, Irfan

AU - Alexandrescu, Vlad A.

AU - Amor, Max

AU - Alper, David

AU - Andrassy, Martin

AU - Attinger, Christopher

AU - Baadh, Andy

AU - Barakat, Hashem

AU - Biasi, Lukla

AU - Bisdas, Theodosios

AU - Bhatti, Zagum

AU - Blessing, Erwin

AU - Bonaca, Marc P.

AU - Bonvini, Stefano

AU - Bosiers, Michel

AU - Bradbury, Andrew W.

AU - Beasley, Robert

AU - Behrendt, Christian Alexander

AU - Brodmann, Marianne

AU - Cabral, Gonzalo

AU - Cancellieri, Roberto

AU - Casini, Andrea

AU - Chandra, Venita

AU - Chisci, Emiliano

AU - Chohan, Omar

AU - Choke, Edward T.C.

AU - Chong, Patrick F.S.

AU - Clerici, Giacomo

AU - Coscas, Raphael

AU - Costantino, Mary

AU - Dalla Paola, Luca

AU - Dand, Sabeen

AU - Davies, Robert S.M.

AU - D’Oria, Mario

AU - Diamantopoulos, Athanasios

AU - Debus, Sebastian

AU - Deloose, Koen

AU - Del Giudice, Costantino

AU - Donato, Gianmarco de

AU - Rubertis, Brian De

AU - Paul De Vries, Jean

AU - Dias, Nuno V.

AU - Diaz-Sandoval, Larry

AU - Dick, Florian

AU - Donas, Konstantinos

AU - Dua, Anahita

AU - Fanelli, Fabrizio

AU - Fazzini, Stefano

AU - Foteh, Mazin

AU - Gandini, Roberto

AU - Gargiulo, Mauro

AU - Garriboli, Luca

AU - Genovese, Elizabeth A.

AU - Gifford, Edward

AU - Goueffic, Yann

AU - Goverde, Peter

AU - Chand Gupta, Prem

AU - Hinchliffe, Robert

AU - Holden, Andrew

AU - Houlind, Kim C.

AU - Howard, Dominic P.J.

AU - Huasen, Bella

AU - Isernia, Giacomo

AU - Katsanos, Konstantinos

AU - Katzen, Barry

AU - Kolh, Philippe

AU - Koncar, Igor

AU - Korosoglou, Grigorios

AU - Krishnan, Prakash

AU - Kroencke, Thomas

AU - Krokidis, Miltiadis

AU - Kumarasamy, Arun

AU - Hayes, Paul

AU - Iida, Osamu

AU - Alejandre Lafont, Enrique

AU - Langhoff, Ralf

AU - Lecis, Alexandre

AU - Lessne, Mark

AU - Lichaa, Hady

AU - Lichtenberg, Michael

AU - Lobato, Marta

AU - Lopes, Alice

AU - Loreni, Giorgio

AU - Lucatelli, Pierleone

AU - Madassery, Sreekumar

AU - Maene, Lieven

AU - Manzi, Marco

AU - Maresch, Martin

AU - Santhosh Mathews, Jay

AU - McCaslin, James

AU - Micari, Antonio

AU - Michelagnoli, Stefano

AU - Migliara, Bruno

AU - Morgan, Robert

AU - Morelli, Luis

AU - Morosetti, Daniele

AU - Mouawad, Nicolas

AU - Moxey, Paul

AU - Müller-Hülsbeck, Stefan

AU - Mustapha, Jihad

AU - Nakama, Tatsuya

AU - Nasr, Bahaa

AU - N’dandu, Zola

AU - Neville, Richard

AU - Noory, Elias

AU - Nordanstig, Joakim

AU - Noronen, Katariina

AU - Mariano Palena, Luis

AU - Parlani, Gianbattista

AU - Patel, Ashish S.

AU - Patel, Parag

AU - Patel, Rafiuddin

AU - Patel, Sanjay

AU - Pena, Costantino

AU - Perkov, Drazen

AU - Portou, Mark

AU - Pratesi, Giovanni

AU - Rammos, Christos

AU - Reekers, Jim

AU - Riambau, Vicente

AU - Roy, Trisha

AU - Rosenfield, Kenneth

AU - Antonella Ruffino, Maria

AU - Saab, Fadi

AU - Saratzis, Athanasios

AU - Sbarzaglia, Paolo

AU - Schmidt, Andrej

AU - Secemsky, Eric

AU - Siah, Michael

AU - Sillesen, Henrik

AU - Simonte, Gioele

AU - Sirvent, Marc

AU - Sommerset, Jill

AU - Steiner, Sabine

AU - Sakr, Ahmed

AU - Scheinert, Dierk

AU - Shishebor, Mehdi

AU - Spiliopoulos, Stavros

AU - Spinelli, Alessio

AU - Stravoulakis, Konstantinos

AU - Taneva, Gergana

AU - Teso, Desarom

AU - Tessarek, Joerg

AU - Theivacumar, Selva

AU - Thomas, Anish

AU - Thomas, Shannon

AU - Thulasidasan, Narayan

AU - Torsello, Giovanni

AU - Tripathi, Ramesh

AU - Troisi, Nicola

AU - Tummala, Srini

AU - Tummala, Venkat

AU - Twine, Christopher

AU - Uberoi, Raman

AU - Ucci, Alessandro

AU - Valenti, Domenico

AU - van den Berg, Jos

AU - van den Heuvel, Daniel

AU - Van Herzeele, Isabelle

AU - Varcoe, Ramon

AU - Vega de Ceniga, Melina

AU - Veith, Frank J.

AU - Venermo, Maarit

AU - Vijaynagar, Badri

AU - Virdee, Sanjiv

AU - Von Stempel, Conrad

AU - Voûte, Michiel T.

AU - Khee Yeung, Kak

AU - Zeller, Thomas

AU - Zayed, Hany

AU - Montero Baker, Miguel

PY - 2024

Y1 - 2024

N2 - This editorial assembles endovascular specialists from diverse clinical backgrounds and nationalities with a global call to address key challenges to enhance revascularization in chronic limb-threatening ischemia (CLTI) patients.• Dedicated below-the-ankle (BTA) angiography and revascularization is underutilized in ischemic foot treatment. Existing guidelines do not address comprehensive BTA vessel analysis. CLTI trials also often lack data on in-line arterial flow to the ischemic lesion and BTA vessel evaluation, hindering outcome assessment.• Dedicated multi-planar angiographic evaluation of the distal microcirculation is key: Direct arterial flow or good-quality collaterals are crucial in influencing wound healing and need to be assessed diligently to the level of the distal ischemic wound territory, termed “woundosome.”• An important primary emphasis of future trials should be on validating technologies and strategies for assessing tissue perfusion before, during, and after revascularization undertaken to heal tissue loss in CLTI patients. This will allow determination of a potentially significant delta in tissue perfusion prior to and following intervention at the “woundosome” level. Once changes in arterial perfusion have been identified as positively correlated to wound healing, these could serve as a much-needed novel primary technical outcome measure for patients with tissue loss undergoing surgical, hybrid, or endovascular revascularization.

AB - This editorial assembles endovascular specialists from diverse clinical backgrounds and nationalities with a global call to address key challenges to enhance revascularization in chronic limb-threatening ischemia (CLTI) patients.• Dedicated below-the-ankle (BTA) angiography and revascularization is underutilized in ischemic foot treatment. Existing guidelines do not address comprehensive BTA vessel analysis. CLTI trials also often lack data on in-line arterial flow to the ischemic lesion and BTA vessel evaluation, hindering outcome assessment.• Dedicated multi-planar angiographic evaluation of the distal microcirculation is key: Direct arterial flow or good-quality collaterals are crucial in influencing wound healing and need to be assessed diligently to the level of the distal ischemic wound territory, termed “woundosome.”• An important primary emphasis of future trials should be on validating technologies and strategies for assessing tissue perfusion before, during, and after revascularization undertaken to heal tissue loss in CLTI patients. This will allow determination of a potentially significant delta in tissue perfusion prior to and following intervention at the “woundosome” level. Once changes in arterial perfusion have been identified as positively correlated to wound healing, these could serve as a much-needed novel primary technical outcome measure for patients with tissue loss undergoing surgical, hybrid, or endovascular revascularization.

U2 - 10.1177/15266028241231745

DO - 10.1177/15266028241231745

M3 - Editorial

C2 - 38523459

AN - SCOPUS:85188516237

JO - Journal of Endovascular Therapy

JF - Journal of Endovascular Therapy

SN - 1526-6028

ER -

ID: 388940299