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Miller D, Richards J, Nyland J. Tibiofemoral Dislocation Management in a Rural High School Football Scenario: Development of a Popliteal Artery Injury Suspicion Index. Pediatr Emerg Care 2024; 40:e61-e67. [PMID: 37962231 DOI: 10.1097/pec.0000000000003082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Abstract
OBJECTIVE This study evaluated the knowledge and preparedness of athletic trainers (ATs) for diagnosing and managing an anterior tibiofemoral knee dislocation in a rural or limited-resource high school football setting scenario. The study hypothesis was that more experienced ATs would display greater preparedness than less experienced ATs. A secondary objective was to develop evidence-based guidelines to help the AT provide better emergency triage care. METHODS This prospective cross-sectional study distributed a rural high school football game scenario survey electronically to a random sample of 2000 certified ATs to determine their perceptions of readiness to diagnose and manage an anterior tibiofemoral knee dislocation with signs or symptoms of possible popliteal artery injury. RESULTS A total of 249 surveys (12.5%) were completed. Years of athletic training experience were ≤5 years (n = 82, group 1) and ≥6 years (n = 167, group 2). Both groups perceived that they could not "rule out" an arterial injury and had similar "red flag" sign and symptom rankings. Group 2 perceived a more serious situation than group 1 (77.5 ± 15 vs 70.8 ± 14, P < 0.0001) and were more likely to activate the emergency action plan (74.5 ± 25 vs 64.4 ± 26, P = 0.005). Both groups were "neutral" about their ability to diagnose the condition or manage the case, had poor ankle-brachial index test familiarity, and agreed that evidence-based guidance was needed. CONCLUSIONS More experienced ATs perceived a more serious situation than less experienced ATs and were more likely to activate the emergency action plan. Both groups were neutral about their ability to diagnose the condition or manage the case, had poor ankle-brachial index test familiarity, and agreed that they would benefit from evidence-based guidance. Proposed guidelines provide the AT with a more measured, evidence-based index of suspicion for potential popliteal artery injury in anterior tibiofemoral dislocation cases. This will complement existing hospital emergency department-based management algorithms, decreasing the likelihood of this condition progressing to limb loss or death.
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Affiliation(s)
- Drew Miller
- From the duPont Manual High School, UofL Health-Frazier Rehab Institute
| | - Jarod Richards
- Department of Orthopaedic Surgery, University of Louisville
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2
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Dimitriadis K, Tasopoulou KM, Georgakarakos E. Palpable Distal Pulses Ensure Optimal Wound Healing of Large Ulcer Areas by Secondary Intention. INT J LOW EXTR WOUND 2022:15347346221139351. [PMID: 36380527 DOI: 10.1177/15347346221139351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Affiliation(s)
- Konstantinos Dimitriadis
- Department of Vascular Surgery, 387479"Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexansroupolis, Greece
| | - Kalliopi-Maria Tasopoulou
- Department of Vascular Surgery, 387479"Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexansroupolis, Greece
| | - Efstratios Georgakarakos
- Department of Vascular Surgery, 387479"Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexansroupolis, Greece
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3
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Georgiadis GS, Argyriou C, Georgakarakos EI, Lazarides MK. Unmasking Peripheral Arterial Disease in Diabetic Patients Presenting With Inflammatory Skin Manifestations During the COVID-19 Pandemic. THE INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS 2022; 21:344-345. [PMID: 33856248 PMCID: PMC9297064 DOI: 10.1177/15347346211004029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- George S. Georgiadis
- Democritus University of Thrace, School of Health Sciences, Alexandroupolis, East Macedonia and Thrace, Greece,George S. Georgiadis, Department of Vascular Surgery, Democritus University of Thrace, Dragana, Alexandroupolis 68100, Greece.
| | - Christos Argyriou
- Democritus University of Thrace, School of Health Sciences, Alexandroupolis, East Macedonia and Thrace, Greece
| | - Efstratios I. Georgakarakos
- Democritus University of Thrace, School of Health Sciences, Alexandroupolis, East Macedonia and Thrace, Greece
| | - Miltos K. Lazarides
- Democritus University of Thrace, School of Health Sciences, Alexandroupolis, East Macedonia and Thrace, Greece
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Casey SL, Lanting SM, Chuter VH. The ankle brachial index in people with and without diabetes: intra-tester reliability. J Foot Ankle Res 2020; 13:21. [PMID: 32398142 PMCID: PMC7216386 DOI: 10.1186/s13047-020-00389-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Accepted: 04/29/2020] [Indexed: 11/26/2022] Open
Abstract
Background The ankle-brachial index (ABI) is widely used for determining the presence and severity of peripheral arterial disease (PAD), and current guidelines suggest it should be used to monitor possible progression in affected individuals. It is therefore important that the technique demonstrates adequate reliability for repeated measurements. Existing studies suggest that the ABI is reliable in the general population however, there is a lack of evidence for the reliability of the ABI in people with diabetes. The aim of this study was to investigate the intra-tester reliability of the ABI in people with and without diabetes. Methods Eighty-five participants (40 with and 45 without diabetes) underwent ankle and brachial systolic blood pressure measurements by a single clinician during two testing sessions. Intraclass correlation coefficients (ICC), their 95% limits of agreement, standard error of measurement and minimal detectable change were determined. Results Intra-tester reliability of the ABI was found to be good (ICC: 0.80), however sub-group analysis of participants with and without diabetes found that ABI was slightly less reliable in people with diabetes (ICC: 0.78) than in those without (ICC: 0.82). The relatively large limits of agreement (− 0.16 to 0.16), standard error of measurement (0.03 overall, 0.04 for the diabetes group), and minimal detectable change (0.08 overall, 0.11 for the diabetes group) suggest that a large change in ABI is required for it to demonstrate a true change rather than the result of measurement variability. The minimal detectable change for the ABI was 0.08 overall, and 0.11 for the diabetes group. Conclusions The ABI demonstrated good reliability in all groups analysed. However, the wide limits of agreement and considerable standard error of measurement obtained support the use of multiple methods of vascular assessment for ongoing monitoring of lower limb vascular status.
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Affiliation(s)
- Sarah Louise Casey
- School of Health Sciences, University of Newcastle, Ourimbah, Australia.
| | | | - Vivienne Helaine Chuter
- School of Health Sciences, University of Newcastle, Ourimbah, Australia.,Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
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5
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Casey S, Lanting S, Oldmeadow C, Chuter V. The reliability of the ankle brachial index: a systematic review. J Foot Ankle Res 2019; 12:39. [PMID: 31388357 PMCID: PMC6679535 DOI: 10.1186/s13047-019-0350-1] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Accepted: 07/29/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The ankle brachial index (ABI) is widely used in clinical practice as a non-invasive method to detect the presence and severity of peripheral arterial disease (PAD). Current guidelines suggest that it should be used to monitor potential progression of PAD in affected individuals. As such, it is important that the test is reliable when used for repeated measurements, by the same or different health practitioners. This systematic review aims to examine the literature to evaluate the inter- and intra-rater reliability of the ABI. METHODS A systematic search of MEDLINE, EMBASE and CINAHL Complete was conducted to 20 January 2019. Two authors independently reviewed and selected relevant studies and extracted the data. Methodological quality was determined using the Quality Appraisal of Reliability (QAREL) Checklist. RESULTS Fifteen studies of ABI reliability in a range of patient populations were identified as suitable for inclusion in the review: seven considered inter-rater reliability, four intra-rater reliability, and four studies evaluated both inter- and intra-rater reliability. Inter-rater reliability was found to be highly variable, with intraclass correlation coefficients (ICC's) ranging from poor to excellent (ICC 0.42-1.00), while intra-rater also demonstrated considerable variation, with ICCs from 0.42-0.98. Meta-analysis was not possible due to the lack of statistical information reported. CONCLUSIONS Results of included studies suggest the inter- and intra-tester reliability of the ABI is acceptable. However, inconsistencies in obtaining systolic pressure measurements, calculating ABI values, and incomplete reporting of methodologies and statistical analysis make it difficult to determine the validity of the results of included studies. Further research, with more consistent reliability methodology, statistical analysis and reporting conducted in populations at risk of PAD is needed to conclusively determine the ABI reliability.
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6
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Katsaros I, Georgakarakos E, Frigkas K, Tasopoulou KM, Souftas V, Fiska A. Arterial collateral circulation pathways in patients with aortoiliac occlusive disease. Vascular 2019; 27:677-683. [DOI: 10.1177/1708538119859795] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives Aortoiliac occlusive disease is a leading cause of morbidity and mortality worldwide. Patients typically present with intermittent claudication or critical limb ischemia but the majority of them remain asymptomatic. Collateral arterial pathways restore the arterial blood supply distal to the lesions. The objective of this study is the description of collateral pathways’ patterns of aortoiliac occlusive disease. Methods Records from the Department of Vascular Surgery of University General Hospital of Alexandroupolis were retrospectively searched from March 2016 to August 2018 for patients suffering from aortoiliac occlusive disease. Results Thirty-three patients (24 males, 9 females) with a mean age of 64.2 ± 11.8 years were included in this study. Twenty-two patients had diabetes mellitus, 25 hypertension, and 16 dyslipidemia. Twenty-two were active smokers. Seventeen patients suffered from intermittent claudication and 16 patients presented with critical limb ischemia. Seven patients had TASC-II B lesions, 10 TASC-II C lesions, and 16 patients had TASC-II D lesions. Systemic collateral pathways were dominant in 17 patients, whereas visceral pathways were prominent in 16 patients. While 62.5% of patients having lesions in the abdominal aorta presented systemic pathways, the lesions located only in the iliac arteries followed visceral patterns or systematic patterns equally. Conclusions Collateral anastomotic networks provide blood supply to regions distal to aortoiliac occlusive lesions. Their pattern is defined mainly by the location of the lesion and does not seem to associate with comorbid factors or the extent of the lesion. Failure to recognize these networks during surgery could lead to limb threatening situations.
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Affiliation(s)
- Ioannis Katsaros
- Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - Efstratios Georgakarakos
- Department of Vascular Surgery, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece
| | - Konstantinos Frigkas
- Department of Radiology and Medical Imaging, University General Hospital of Alexandroupolis, Alexandroupolis, Greece
| | - Kalliopi-Maria Tasopoulou
- Department of Vascular Surgery, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece
| | - Vasileios Souftas
- Department of Radiology and Medical Imaging, University General Hospital of Alexandroupolis, Alexandroupolis, Greece
| | - Aliki Fiska
- Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
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7
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Omarjee L, Donnou C, Chaudru S, Locher C, Paul E, Charasson M, Mauger C, Jaquinandi V, Stivalet O, Mahe G. Impact of an Educational Intervention on Ankle–Brachial Index Performance Among Medical Students and Fidelity Assessment at Six Months. Ann Vasc Surg 2019; 56:246-253. [DOI: 10.1016/j.avsg.2018.07.044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 07/06/2018] [Accepted: 07/07/2018] [Indexed: 10/28/2022]
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8
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Georgakarakos E, Anastasiadou E, Papoutsi M, Koufopoulos G, Georgiadis GS. Tips and tricks for facilitating teaching of Doppler waveforms and ankle-brachial index in undergraduate level: A practical guide. JOURNAL OF VASCULAR NURSING 2018; 37:64-68. [PMID: 30954201 DOI: 10.1016/j.jvn.2018.10.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 10/07/2018] [Accepted: 10/12/2018] [Indexed: 11/16/2022]
Abstract
Although the measurement of ankle-brachial index (ABI) is considered a fundamental skill in assessment and diagnosis of peripheral arterial disease and a predictive tool for cardiovascular events, real-world practice shows that the experience of many health professionals is far from ideal. Not only teaching and practice of ABI measurement in undergraduate medical curricula are limited but various mistakes in the process of calculation, estimation, and interpretation of ABI results in the postgraduate practice have also been documented. Because vascular surgery is a core subject in our medical school, we deal with the difficulties and challenges that undergraduate medical students and nurses face to measure and comprehend ABI. We came up with useful tips and maneuvers to overcome these difficulties. Accordingly, this article provides twelve easy-to-follow useful tips to enhance and facilitate the teaching and comprehension of ABI. Moreover, it favors the simultaneous teaching of Doppler arterial waveform examination as a means to facilitate accurate interpretation and validation of ABI results.
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Affiliation(s)
- Efstratios Georgakarakos
- Department of Vascular Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.
| | - Evgenia Anastasiadou
- Department of Vascular Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
| | - Marilena Papoutsi
- Department of Vascular Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
| | - Georgios Koufopoulos
- Department of Vascular Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
| | - George S Georgiadis
- Department of Vascular Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
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Mahé G, Boulon C, Désormais I, Lacroix P, Bressollette L, Guilmot JL, Le Hello C, Sevestre MA, Pernod G, Constans J, Boissier C, Bura-Rivière A. [College of the French Vascular Medicine Teachers (CEMV) statement: Arterial Doppler waveforms analysis (simplified Saint-Bonnet classification)]. JOURNAL DE MÉDECINE VASCULAIRE 2018; 43:255-261. [PMID: 29981734 DOI: 10.1016/j.jdmv.2018.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2017] [Accepted: 04/29/2018] [Indexed: 10/28/2022]
Abstract
Lower extremity peripheral artery disease is a frequent disease. Arterial Doppler waveforms analysis is a key element in vascular medicine, especially to diagnose lower peripheral artery disease. Although Doppler waveforms are often used, descriptions are highly heterogeneous. This review presents the simplified Saint-Bonnet classification that is tought to vascular medicine residents in order to homogenize arterial flow description.
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Affiliation(s)
- G Mahé
- Inserm, CIC 1414, univ Rennes, CHU Rennes, unité de médecine vasculaire, 35000 Rennes, France.
| | - C Boulon
- Médecine vasculaire, hôpital Saint-André, 33076 Bordeaux, France
| | - I Désormais
- Médecine vasculaire, CHU Limoges, 87042 Limoges, France
| | - P Lacroix
- Médecine vasculaire, CHU Limoges, 87042 Limoges, France
| | | | | | - C Le Hello
- Service de médecine vasculaire et thérapeutique, CHU Nord Saint-Etienne, 42055 Saint-Étienne, France
| | - M A Sevestre
- Médecine vasculaire, CHU Amiens, 80054 Amiens, France
| | - G Pernod
- Médecine vasculaire, CHU de Grenoble, 38700 La Tronche, France
| | - J Constans
- Médecine vasculaire, hôpital Saint-André, 33076 Bordeaux, France
| | - C Boissier
- Service de médecine vasculaire et thérapeutique, CHU Nord Saint-Etienne, 42055 Saint-Étienne, France
| | - A Bura-Rivière
- Médecine vasculaire, hôpital Rangueil, CHU de Toulouse, 31059 Toulouse, France
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10
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Donnou C, Chaudru S, Stivalet O, Paul E, Charasson M, Selli JM, Mauger C, Chapron A, Le Faucheur A, Jaquinandi V, Mahé G. How to become proficient in performance of the resting ankle-brachial index: Results of the first randomized controlled trial. Vasc Med 2017; 23:109-113. [PMID: 29125051 DOI: 10.1177/1358863x17740993] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The resting ankle-brachial index (ABI) is a first-line test to diagnose peripheral artery disease (PAD). No randomized controlled trial (RCT) has yet been conducted to determine the best teaching method to become proficient in the ABI procedure. We conducted a monocentric RCT to determine whether didactic learning alone or didactic learning combined with experiential learning improved proficiency in the ABI procedure. Medical students ( n = 30) received didactic learning, including (i) a presentation of the ABI guidelines and (ii) a video demonstration. Each student was then randomized into two groups ('no experiential learning group' and 'experiential learning group'). An initial evaluation was performed after the didactic learning and a final evaluation at the end of the intervention. A student was considered to be proficient when he or she performed a correct ABI procedure on a healthy individual and a patient. The correct procedure corresponds to (i) following guidelines and (ii) a difference in ABI measurement between a vascular specialist and a student of ≤ 0.15. No student was proficient at the initial evaluation. At the final evaluation, in the didactic learning group, the number of proficient students was not improved compared with the initial evaluation (0/10 vs 1/10). In the experiential learning group, the number of proficient students was significantly improved (0/20 vs 11/20; p < 0.05). At the final evaluation, there was a significant difference between the number of proficient students depending on their learning group. In conclusion, didactic learning alone is insufficient to gain proficiency in the ABI procedure. Combining didactic learning with experiential learning significantly improved the students' proficiency.
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Affiliation(s)
- Céline Donnou
- 1 Vascular Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France
| | - Ségolène Chaudru
- 2 Université de Rennes, Centre Hospitalier Universitaire de Rennes, INSERM, Centre d'Investigation Clinique 1414, Rennes, France
| | - Olivier Stivalet
- 1 Vascular Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France.,3 Vascular Medicine, Hopital de Saint-Malo, France
| | - Eunice Paul
- 1 Vascular Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France.,4 Vascular Medicine, Hospital de Dinan, France
| | - Marie Charasson
- 1 Vascular Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France.,4 Vascular Medicine, Hospital de Dinan, France
| | - Jean-Marc Selli
- 1 Vascular Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France.,5 Vascular Medicine, Hospital de Paimpol, France
| | - Chadi Mauger
- 1 Vascular Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France
| | - Anthony Chapron
- 2 Université de Rennes, Centre Hospitalier Universitaire de Rennes, INSERM, Centre d'Investigation Clinique 1414, Rennes, France
| | - Alexis Le Faucheur
- 2 Université de Rennes, Centre Hospitalier Universitaire de Rennes, INSERM, Centre d'Investigation Clinique 1414, Rennes, France.,6 Movement, Sport and Health Laboratory, EA 1274, UFR STAPS, Université de Rennes 2, Rennes, France.,7 Department of Sport Sciences and Physical Education, Ecole normale supérieure de Rennes, Bruz, France
| | - Vincent Jaquinandi
- 1 Vascular Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France.,2 Université de Rennes, Centre Hospitalier Universitaire de Rennes, INSERM, Centre d'Investigation Clinique 1414, Rennes, France
| | - Guillaume Mahé
- 1 Vascular Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France.,2 Université de Rennes, Centre Hospitalier Universitaire de Rennes, INSERM, Centre d'Investigation Clinique 1414, Rennes, France
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Papanas N, Demetzos C, Pippa N, Maltezos E, Tentolouris N. Efficacy of a New Heparan Sulfate Mimetic Dressing in the Healing of Foot and Lower Extremity Ulcerations in Type 2 Diabetes: A Case Series. INT J LOW EXTR WOUND 2017; 15:63-7. [PMID: 26933115 DOI: 10.1177/1534734616629302] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
A novel heparan sulfate glycosaminoglycan mimetic product for local application to promote wound healing (CACIPLIQ) has recently become available. It is a biophysical therapeutic product comprising a polysaccharide as an innovative biomaterial to accomplish mechanical tissue engineering and skin regeneration in the site of ulceration. We present a series of 12 patients with type 2 diabetes (4 men and 8 women; age 53-87 years; diabetes duration 8-25 years) having chronic resistance to therapy for foot and lower extremity ulcerations. CACIPLIQ was locally applied twice per week after careful debridement. Complete ulcer healing was accomplished in all patients after a mean treatment duration of 4.92 months (range = 2-12 months). The product was very well tolerated. In conclusion, these results, although preliminary, are encouraging and suggest adequate efficacy and safety of the new product in difficult-to-heal foot and lower extremity ulcerations in type 2 diabetes.
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Affiliation(s)
| | - Costas Demetzos
- National and Kapodistrian University of Athens, Athens, Greece
| | - Natassa Pippa
- National and Kapodistrian University of Athens, Athens, Greece
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12
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Georgakarakos E, Georgiadis GS, Christopoulos DC, Lazarides MK. Vascular Educational Needs in the “Real World” and Teaching of Vascular Surgery in Medical Schools. Angiology 2016; 68:93-95. [DOI: 10.1177/0003319716651753] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Efstratios Georgakarakos
- Department of Vascular Surgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - George S. Georgiadis
- Department of Vascular Surgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | | | - Miltos K. Lazarides
- Department of Vascular Surgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
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13
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Training to Perform Ankle-Brachial Index: Systematic Review and Perspectives to Improve Teaching and Learning. Eur J Vasc Endovasc Surg 2016; 51:240-7. [DOI: 10.1016/j.ejvs.2015.09.005] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2015] [Accepted: 09/05/2015] [Indexed: 11/24/2022]
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14
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Mahé G. Mesure de l’index de pression systolique de cheville : mode d’enseignement en deuxième et troisième cycles en France et revue de la littérature. ACTA ACUST UNITED AC 2015; 40:165-72. [DOI: 10.1016/j.jmv.2015.03.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Accepted: 03/01/2015] [Indexed: 10/23/2022]
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15
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Ankle brachial index teaching: A call for an international action. Int J Cardiol 2015; 184:489-491. [DOI: 10.1016/j.ijcard.2015.03.017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Accepted: 03/02/2015] [Indexed: 11/21/2022]
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16
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Lamina C, Linsenmeyer J, Weissensteiner H, Kollerits B, Meisinger C, Rantner B, Stöckl D, Stadler M, Klein-Weigel P, Peters A, Fraedrich G, Kronenberg F. Correlation between a positive family risk score and peripheral artery disease in one case-control and two population-based studies. Atherosclerosis 2014; 237:243-50. [DOI: 10.1016/j.atherosclerosis.2014.08.032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2014] [Revised: 07/16/2014] [Accepted: 08/12/2014] [Indexed: 02/02/2023]
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17
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Romero-Collado A, Raurell-Torreda M, Zabaleta-del-Olmo E, Homs-Romero E, Bertran-Noguer C. Course Content Related to Chronic Wounds in Nursing Degree Programs in Spain. J Nurs Scholarsh 2014; 47:51-61. [DOI: 10.1111/jnu.12106] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2014] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - Edurne Zabaleta-del-Olmo
- University Institute for Primary Care Research Jordi Gol (Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol); Barcelona; Spain and Researcher associated with the Universitat Autònoma de Barcelona; Bellaterra Spain
| | - Erica Homs-Romero
- Figueres Basic Healthcare Area (Àrea Bàsica de Salut de Figueres) Catalan Health Institute (Institut Català de la Salut); Girona Spain
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18
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Papanas N, Mani R. How to Cope With the Increasing Burden of the Diabetic Foot. INT J LOW EXTR WOUND 2014; 13:171-172. [DOI: 10.1177/1534734614548167] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
Affiliation(s)
| | - Raj Mani
- University Hospital Southampton NHS Foundation Trust, Southampton, UK
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19
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Georgakarakos E, Bitza C, Papanas N, Matsagkas M, Lazarides MK. Vascular Nursing in Greece. INT J LOW EXTR WOUND 2013; 12:180-3. [DOI: 10.1177/1534734613502051] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Although peripheral arterial disease is prevalent in the primary care setting, insufficient vascular education among nurses and physicians coupled with certain economic constraints undermines treatment efficacy. Moreover, the burden of advanced venous pathology such as posthrombotic syndrome, venous ulcers, and lymphedema remains suboptimally treated. This article advocates the development of a vascular nursing specialty as a means to improving vascular care especially nowadays, when health care providers dictate comprehensive and cost-effective nursing practice and patient management. It also presents the first attempt to organize a Vascular Nursing Educational Session in Greece.
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