D2 Article in a professional compilation book
Ischaemic Leg Ulcer
Authors: Høgh, Annette; Sørensen, Daniel Mosgaard; Nielsen, Anne Cathrine; Lamza, Ana; Ručigaj, Tanja Planinšek; Sepehri, Mitra; Sørensen, Hanne Birke; Noronen, Katariina; Bharadwaz, Arindam; Viljamaa, Jaakko
Editors: Tiplica, George-Sorin; Isoherranen, Kirsi
Edition: 1. edition
Publisher: Springer Science+Business Media
Publication year: 2025
Book title : Wound Healing: A Practical Approach
First page : 5
Last page: 32
ISBN: 978-3-031-84578-9
eISBN: 978-3-031-84579-6
DOI: https://doi.org/10.1007/978-3-031-84579-6_2
Publication's open availability at the time of reporting: No Open Access
Publication channel's open availability : No Open Access publication channel
Web address : https://link.springer.com/chapter/10.1007/978-3-031-84579-6_2
In this chapter, nine cases are presented to describe the typical development of ischaemic leg ulcers focusing on the key point in diagnostics and treatment. The cases are selected to illustrate the importance of a holistic approach combined with a multidisciplinary set-up. Quick identification of a potential ischaemic component to a chronic wound is essential. The diagnosis of ischaemic leg ulcers is based on clinical characteristics combined with an objective and physical examination of the patient. Peripheral pulse palpation and measurement of the ankle brachial index (ABI) are first-line non-invasive hemodynamic screening for assessing the severity of the peripheral arterial disease (universal atherosclerosis, obstructing the circulation to the lower limbs leading to decreased oxygen inflow by which cell division and tissue survival are compromised and rest pain, necrosis and/or gangrene arise). Furthermore, aggressive local wound treatment both before and after revascularization is essential.
