{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:36:53Z","timestamp":1779334613041,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100005716","name":"Babol University of Medical Sciences","doi-asserted-by":"publisher","award":["724133812"],"award-info":[{"award-number":["724133812"]}],"id":[{"id":"10.13039\/501100005716","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The angiosome concept has significantly impacted diabetic foot ulcer management by highlighting the vascular anatomy\u2019s role in wound healing. However, its clinical applicability and validity remain debated due to complexities in foot blood supply and ulcer location determination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted on 84 individuals with diabetic foot ulcers undergoing lower limb angiography. Demographics, ulcer characteristics, and angiographic data were collected and analyzed using descriptive statistics and relevant tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Digital subtraction angiography assessed 89 limbs with diabetic foot ulcers; males comprised 54.8%, primarily type 2 diabetes (96.4%), averaging 64.36 \u00b1 10.09 years. Of 129 angiosomes, angiosome 2 (40.3%) had the highest ulcer incidence. Posterior tibial artery (PTA) involvement was predominant (72.9%), while external iliac artery (EIA) and profunda femoris artery (PFA) were least affected (2.4% each). Posterior tibial artery showed 46.5% complete occlusion. Angiosome 2 correlated notably with anterior tibial artery (ATA), peroneal artery (CPA), and PTA, but categorizing angiosomes by supply patterns showed no significant artery correlation (\n                      <jats:italic>p<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The research indicates inconsistent support for below-the-knee artery involvement correlating with foot ulcer locations in angiosomes. While aiding vascular comprehension, the angiosome concept may not fully elucidate lower limb vascular complexities and ulcer genesis. Factors like collateral circulation should be noticed to understanding ulcer localization and severity, extending beyond angiosomal arterial supply.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381241254430","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T23:23:25Z","timestamp":1715383405000},"page":"665-670","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Challenging the angiosome concept: Delineating peripheral arterial disease patterns in diabetic foot ulcers"],"prefix":"10.1177","volume":"33","author":[{"given":"Elham","family":"Sahebalzamani","sequence":"first","affiliation":[{"name":"Medical Doctorate, Department of Vascular and Endovascular Surgery, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6923-0221","authenticated-orcid":false,"given":"Pouya","family":"Tayebi","sequence":"additional","affiliation":[{"name":"Assistant Professor of Vascular Surgery, Department of Vascular and Endovascular Surgery, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud Sadeghi","family":"Haddad Zavareh","sequence":"additional","affiliation":[{"name":"Associate Professor of Infectious Diseases, Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Bijani","sequence":"additional","affiliation":[{"name":"Associate Professor of Epidemiology, Social Determinant of Health Research Center, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Taghi","family":"Hedayati Goudarzi","sequence":"additional","affiliation":[{"name":"Assistant Professor of Cardiology, Department of Cardiology, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"223","article-title":"Ischemic foot: definition, etiology and angiosome concept","volume":"51","author":"Setacci C","year":"2010","unstructured":"Setacci C, De Donato G, Setacci F, et al. Ischemic foot: definition, etiology and angiosome concept. J Cardiovasc Surg (Torino) 2010; 51: 223\u2013231.","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(87)90185-8"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2010.04.003"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.12.037"},{"key":"e_1_3_4_6_2","first-page":"7","article-title":"The foot angiosomes as integrated level of lower limb arterial perfusion: amendments for chronic limb threatening ischemia presentations","volume":"4","author":"Alexandrescu V","year":"2019","unstructured":"Alexandrescu V, Pottier M, Balthazar S, et al. The foot angiosomes as integrated level of lower limb arterial perfusion: amendments for chronic limb threatening ischemia presentations. J Vasc Endovasc Ther 2019; 4: 7\u201314.","journal-title":"J Vasc Endovasc Ther"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3400\/avd.ra.19-00036"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181ea934a"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.21501"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2016.02.001"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2011.12.001"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574410376601"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1708538118759250"},{"key":"e_1_3_4_14_2","first-page":"287","article-title":"Anatomical study of dorsalis pedis artery and its clinical correlations","volume":"5","author":"Vijayalakshmi S","year":"2011","unstructured":"Vijayalakshmi S, Raghunath G, Shenoy V. Anatomical study of dorsalis pedis artery and its clinical correlations. J Clin Diagn Res 2011; 5: 287\u2013290.","journal-title":"J Clin Diagn Res"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/672897"},{"issue":"46","key":"e_1_3_4_16_2","first-page":"50","article-title":"Arterial ulcers: assessment and diagnosis","volume":"42","author":"Holloway GA","year":"1996","unstructured":"Holloway GAJr. Arterial ulcers: assessment and diagnosis. Ostomy Wound Manage 1996; 42(46-48): 50.","journal-title":"Ostomy Wound Manage"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381241254430","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381241254430","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381241254430","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:39:46Z","timestamp":1777707586000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381241254430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,10]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/17085381241254430"],"URL":"https:\/\/doi.org\/10.1177\/17085381241254430","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,10]]}}}