Arteriyel Yaralar ve Bakım Yönetimi
Özet
Arteriyel yaralar/ülserler, periferik arter hastalığına bağlı gelişen yaralardır. Periferik arter hastalığı için birçok terminoloji kullanılmakta olup; arter hastalığı, arteriyel yetmezlik, periferik vasküler hastalık, alt ekstremite arter hastalığı, alt ekstremite iskemisi, periferik arter tıkayıcı hastalık ve kronik ekstremiteleri tehdit eden iskemi bunlar arasındadır. Bu hastalar iyileşmeyen yaralar, enfeksiyon ve uzuv kaybı ile karşılaşma riski altındadır. Periferik arter hastalığının yüksek prevalansına rağmen, hastaların çoğunluğu teşhis ve tedavi edilememekte veya yetersiz tedavi edilmektedir. Bu amaçla sağlık çalışanlarının kanıta dayalı kılavuzlarla hazırlanmış arteriyel yaralara ilişkin değerlendirme ve müdahaleleri kullanmaları elzemdir.
Referanslar
Bowers S, Franco E. Chronic Wounds: Evaluation and management. Am Fam Physician; 2020 Feb 2 1;101(3): 159-166. PMID: 32003952
Teot L, Ohura N. Challenges and management in wound Care. Plast Reconstr Surg; 2021 Jan 1;147(1S-1): 9S-15S. doi: 10.1097/PRS.0000000000007628. PMID: 33347058
Broderick C, Pagnamenta F, Forster R. Dressings and topical agents for arterial leg ulcers. Cochrane Database Syst Rev; 2020 Jan 20;1(1): CD001836. doi: 10.1002/14651858.CD001836.pub4. PMID: 31978262; PMCID: PMC6984409
Bonham PA, Flemister BG, Droste LR, et al. 2014 Guideline for management of wounds in patients with lower-extremity arterial disease (LEAD). J Wound Ostomy Continence Nurs; 2016;43(1): 23-31.
Franks P, Barker J, Collier M, et al. EWMA document; Management of patients with venous leg ulcer: Challenges and current best practice. Journal of Wound Care; 2016;(25): Suppl, 1–67.
Isoherranen K, Kallio M, O'Brien JJ, Lagus H. Clinical characteristics of lower extremity ulcers. EWMA Journal [Internet]; 2020;21(1): 51-58.
Swaminathan A, Vemulapalli S, Patel MR, Jones WS. Lower extremity amputation in peripheral artery disease: improving patient outcomes. Vasc Health Risk Manag; 2014;10: 417–24. https://doi.org/10.2147/VHRM.S50588
Fowkes FG, Rudan D, Rudan I, et al. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet; 2013;382(9901): 1329–40. https://doi.org/10.1016/S0140-6736(13)61249-0
Rudofker EW, Hogan SE, Armstrong EJ. Preventing major amputations in patients with critical limb ıschemia. Curr Cardiol Rep; 2018 Jul 10;20(9): 74. doi: 10.1007/s11886-018-1019-2. PMID: 29992515
Conte MS, Bradbury AW, Kolh P, et al; GVG Writing Group. Global vascular guidelines on the management of chronic limb-threatening ischemia. J Vasc Surg. 2019 Jun;69(6S): 3S-125S.e40. doi: 10.1016/j.jvs.2019.02.016. Epub 2019 May 28. Erratum in: J Vasc Surg. 2019 Aug;70(2): 662. PMID: 31159978; PMCID: PMC8365864.
GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet; 2015;385(9963): pp. 117-171.
Conte SM, Vale PR. Peripheral Arterial Disease. Heart Lung Circ. 2018 Apr;27(4): 427-432. Doi: 10.1016/j.hlc.2017.10.014. Epub 2017 Nov 7. PMID: 29150158.
Balkanay OO, Ömeroğlu SN. Yaşlılarda periferik arter hastalığına yaklaşım. [Approach to peripheral arterial disease in the elderly]. Turk Kardiyol Dern Ars. 2017 Sep;45(Suppl 5): 96-101. Turkish. doi: 10.5543/tkda.2017.08444. PMID: 28976393.
Braunwald’s, Heart Disease, a Textbook of Cardiyovascular Medicine, 10th Edition, 2015.
Korkmaz FD. Arteriyel yaralar ve hemşirelik bakımı. Turkiye Klinikleri J Surg Nurs-Special Topics; 2017;3(3): 204-10.
Dua A, Lee CJ. Epidemiology of peripheral arterial disease and critical limb ıschemia. Tech Vasc Interv Radiol; 2016 Jun;19(2): 91-5. doi: 10.1053/j.tvir.2016.04.001. Epub 2016 Apr 22. PMID: 27423989
Cooke JP, Meng S. Vascular regeneration in peripheral artery disease. Arterioscler Thromb Vasc Biol. 2020 Jul;40(7): 1627-1634. doi: 10.1161/ATVBAHA.120.312862. Epub 2020 May 21. PMID: 32434408; PMCID: PMC7357605
Brevetti G, Silvestro A, Di Giacomo S, et al. Endothelial dysfunction in peripheral arterial disease is related to increase in plasma markers of inflammation and severity of peripheral circulatory impairment but not to classic risk factors and atherosclerotic burden. J Vasc Surg; 2003;38: 374–379.
Robles-Romero JM, Romero-Martín M, Conde-Guillén G, et al. The physics of fluid dynamics applied to vascular ulcers and ıts ımpact on nursing care. Healthcare (Basel); 2020 May 28;8(2): 147. doi: 10.3390/healthcare8020147. PMID: 32481597; PMCID: PMC7349071
Brass EP, Hiatt WR. Acquired skeletal muscle metabolic myopathy in atherosclerotic peripheral arterial disease. Vasc Med; 2000;5: 55–59.
Muller MD, Reed AB, Leuenberger UA, Sinoway LI. Physiology in medicine: peripheral arterial disease. J Appl Physiol (1985); 2013 Nov 1;115(9): 1219-26. doi: 10.1152/japplphysiol.00885.2013. Epub 2013 Aug 22. PMID: 23970534; PMCID: PMC3841832
Lu L, Mackay DF, Pell JP. Meta-analysis of the association between cigarette smoking and peripheral arterial disease. Heart; 2014;100(5); p. 414.
Haring R, Travison TG, Bhasin S, et al. Relation between sex hormone concentrations, peripheral arterial disease, and change in ankle-brachial index: Findings from the Framingham Heart Study. J Clin Endocrinol Metab; 2011;96(12): pp. 3724-3732. 10.1210/jc.2011-1068. [Epub 2011 Sep 21]
Criqui MH, Aboyans V. Epidemiology of peripheral artery disease. Circ Res; 2015;116: 1509e26.
Ix JH, Biggs ML, Kizer JR, et al. Association of body mass index with peripheral arterial disease in older adults: the Cardiovascular Health Study. Am J Epidemiol; 2011;174: 1036e43.
Violi F, Lip GY, Basili S. Peripheral artery disease and atrial fibrillation: a potentially dangerous combination. Int Emerg Med; 2013;7: pp. 213-218.
Gupta DK, Skali H, Claggett B, et al. Heart failure risk across the spectrum of ankle-brachial index: the ARIC study (Atherosclerosis Risk In Communities). J Am Coll Cardiol Heart Fail; 2014;2: pp. 447-454.
Utriainen KT, Airaksinen JK, Polo O, et al. Sleep apnoea is associated with major cardiac events in peripheral arterial disease. Eur Respir J; 2014;43: pp. 1652-1660.
Matsushita K, Ballew SH, Coresh J, et al. Measures of chronic kidney disease and risk of incident peripheral artery disease: a collaborative meta-analysis of individual participant data. Lancet Diabetes Endocrinol; 2017;S2213-8587(17): 30183-3.
Kaufman JD, Adar SD, Barr RG, et al. Association between air pollution and coronary artery calcification within six metropolitan areas in the USA (the MultiEthnic Study of Atherosclerosis and Air Pollution): a longitudinal cohort study. Lancet; 2016;388: 696e704.
Wassel CL, Lamina C, Nambi V, et al. Genetic determinants of the ankle-brachial index: a meta-analysis of a cardiovascular candidate gene 50K SNP panel in the candidate gene association resource (CARe) consortium. Atherosclerosis; 2012;222: 138e47.
Desormais I, Aboyans V, Guerchet M, et al. Prevalence of peripheral artery disease in the elderly population in urban and rural areas of Central Africa: the EPIDEMCA study. Eur J Prev Cardiol; 2014;22: 1462e72.
Batty GD, Russ TC, Stamatakis E, Kivimaki M. Psychological distress and risk of peripheral vascular disease, abdominal aortic aneurysm, and heart failure: pooling of sixteen cohort studies. Atherosclerosis; 2014;236: 385e8.
Köksal C. İntermittan klodikasyon. In: Bozkurt AK, editor. Periferik arter ve ven hastalıkları ulusal tedavi kılavuzu. İstanbul: Bayçınar Tıbbi Yayıncılık; 2016. p. 12–26.
Firnhaber JM, Powell CS. Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment. Am Fam Physician; 2019 Mar 15;99(6): 362-369. Erratum in: Am Fam Physician. 2019 Jul 15;100(2):74. PMID: 30874413.
Torrence G, Wrobel JS. A case of mistaken identity: Classic Kaposi sarcoma misdiagnosed as a diabetic foot ulcer in an atypical patient. Clin Diabetes Endocr; 2019;(5): 8.
Aboyans MH, Criqui P, Abraham MA, et al. Measurement and Interpretation of the Ankle-Brachial Index: A Scientific Statement From the American Heart Association Circulation; 2012;126: pp. 2890-2909.
Broderick C, Pagnamenta F, Forster R. Dressings and topical agents for arterial leg ulcers. Cochrane Database Syst Rev; 2020 Jan 20;1(1): CD001836. doi: 10.1002/14651858.CD001836.pub4. PMID: 31978262; PMCID: PMC6984409.
Federman DG, Ladiiznski B, Dardik A, al. Wound healing society 2014 update on guidelines for arterial ulcers. Wound Rep Reg; 2016;24: 127-35.
Referanslar
Bowers S, Franco E. Chronic Wounds: Evaluation and management. Am Fam Physician; 2020 Feb 2 1;101(3): 159-166. PMID: 32003952
Teot L, Ohura N. Challenges and management in wound Care. Plast Reconstr Surg; 2021 Jan 1;147(1S-1): 9S-15S. doi: 10.1097/PRS.0000000000007628. PMID: 33347058
Broderick C, Pagnamenta F, Forster R. Dressings and topical agents for arterial leg ulcers. Cochrane Database Syst Rev; 2020 Jan 20;1(1): CD001836. doi: 10.1002/14651858.CD001836.pub4. PMID: 31978262; PMCID: PMC6984409
Bonham PA, Flemister BG, Droste LR, et al. 2014 Guideline for management of wounds in patients with lower-extremity arterial disease (LEAD). J Wound Ostomy Continence Nurs; 2016;43(1): 23-31.
Franks P, Barker J, Collier M, et al. EWMA document; Management of patients with venous leg ulcer: Challenges and current best practice. Journal of Wound Care; 2016;(25): Suppl, 1–67.
Isoherranen K, Kallio M, O'Brien JJ, Lagus H. Clinical characteristics of lower extremity ulcers. EWMA Journal [Internet]; 2020;21(1): 51-58.
Swaminathan A, Vemulapalli S, Patel MR, Jones WS. Lower extremity amputation in peripheral artery disease: improving patient outcomes. Vasc Health Risk Manag; 2014;10: 417–24. https://doi.org/10.2147/VHRM.S50588
Fowkes FG, Rudan D, Rudan I, et al. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet; 2013;382(9901): 1329–40. https://doi.org/10.1016/S0140-6736(13)61249-0
Rudofker EW, Hogan SE, Armstrong EJ. Preventing major amputations in patients with critical limb ıschemia. Curr Cardiol Rep; 2018 Jul 10;20(9): 74. doi: 10.1007/s11886-018-1019-2. PMID: 29992515
Conte MS, Bradbury AW, Kolh P, et al; GVG Writing Group. Global vascular guidelines on the management of chronic limb-threatening ischemia. J Vasc Surg. 2019 Jun;69(6S): 3S-125S.e40. doi: 10.1016/j.jvs.2019.02.016. Epub 2019 May 28. Erratum in: J Vasc Surg. 2019 Aug;70(2): 662. PMID: 31159978; PMCID: PMC8365864.
GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet; 2015;385(9963): pp. 117-171.
Conte SM, Vale PR. Peripheral Arterial Disease. Heart Lung Circ. 2018 Apr;27(4): 427-432. Doi: 10.1016/j.hlc.2017.10.014. Epub 2017 Nov 7. PMID: 29150158.
Balkanay OO, Ömeroğlu SN. Yaşlılarda periferik arter hastalığına yaklaşım. [Approach to peripheral arterial disease in the elderly]. Turk Kardiyol Dern Ars. 2017 Sep;45(Suppl 5): 96-101. Turkish. doi: 10.5543/tkda.2017.08444. PMID: 28976393.
Braunwald’s, Heart Disease, a Textbook of Cardiyovascular Medicine, 10th Edition, 2015.
Korkmaz FD. Arteriyel yaralar ve hemşirelik bakımı. Turkiye Klinikleri J Surg Nurs-Special Topics; 2017;3(3): 204-10.
Dua A, Lee CJ. Epidemiology of peripheral arterial disease and critical limb ıschemia. Tech Vasc Interv Radiol; 2016 Jun;19(2): 91-5. doi: 10.1053/j.tvir.2016.04.001. Epub 2016 Apr 22. PMID: 27423989
Cooke JP, Meng S. Vascular regeneration in peripheral artery disease. Arterioscler Thromb Vasc Biol. 2020 Jul;40(7): 1627-1634. doi: 10.1161/ATVBAHA.120.312862. Epub 2020 May 21. PMID: 32434408; PMCID: PMC7357605
Brevetti G, Silvestro A, Di Giacomo S, et al. Endothelial dysfunction in peripheral arterial disease is related to increase in plasma markers of inflammation and severity of peripheral circulatory impairment but not to classic risk factors and atherosclerotic burden. J Vasc Surg; 2003;38: 374–379.
Robles-Romero JM, Romero-Martín M, Conde-Guillén G, et al. The physics of fluid dynamics applied to vascular ulcers and ıts ımpact on nursing care. Healthcare (Basel); 2020 May 28;8(2): 147. doi: 10.3390/healthcare8020147. PMID: 32481597; PMCID: PMC7349071
Brass EP, Hiatt WR. Acquired skeletal muscle metabolic myopathy in atherosclerotic peripheral arterial disease. Vasc Med; 2000;5: 55–59.
Muller MD, Reed AB, Leuenberger UA, Sinoway LI. Physiology in medicine: peripheral arterial disease. J Appl Physiol (1985); 2013 Nov 1;115(9): 1219-26. doi: 10.1152/japplphysiol.00885.2013. Epub 2013 Aug 22. PMID: 23970534; PMCID: PMC3841832
Lu L, Mackay DF, Pell JP. Meta-analysis of the association between cigarette smoking and peripheral arterial disease. Heart; 2014;100(5); p. 414.
Haring R, Travison TG, Bhasin S, et al. Relation between sex hormone concentrations, peripheral arterial disease, and change in ankle-brachial index: Findings from the Framingham Heart Study. J Clin Endocrinol Metab; 2011;96(12): pp. 3724-3732. 10.1210/jc.2011-1068. [Epub 2011 Sep 21]
Criqui MH, Aboyans V. Epidemiology of peripheral artery disease. Circ Res; 2015;116: 1509e26.
Ix JH, Biggs ML, Kizer JR, et al. Association of body mass index with peripheral arterial disease in older adults: the Cardiovascular Health Study. Am J Epidemiol; 2011;174: 1036e43.
Violi F, Lip GY, Basili S. Peripheral artery disease and atrial fibrillation: a potentially dangerous combination. Int Emerg Med; 2013;7: pp. 213-218.
Gupta DK, Skali H, Claggett B, et al. Heart failure risk across the spectrum of ankle-brachial index: the ARIC study (Atherosclerosis Risk In Communities). J Am Coll Cardiol Heart Fail; 2014;2: pp. 447-454.
Utriainen KT, Airaksinen JK, Polo O, et al. Sleep apnoea is associated with major cardiac events in peripheral arterial disease. Eur Respir J; 2014;43: pp. 1652-1660.
Matsushita K, Ballew SH, Coresh J, et al. Measures of chronic kidney disease and risk of incident peripheral artery disease: a collaborative meta-analysis of individual participant data. Lancet Diabetes Endocrinol; 2017;S2213-8587(17): 30183-3.
Kaufman JD, Adar SD, Barr RG, et al. Association between air pollution and coronary artery calcification within six metropolitan areas in the USA (the MultiEthnic Study of Atherosclerosis and Air Pollution): a longitudinal cohort study. Lancet; 2016;388: 696e704.
Wassel CL, Lamina C, Nambi V, et al. Genetic determinants of the ankle-brachial index: a meta-analysis of a cardiovascular candidate gene 50K SNP panel in the candidate gene association resource (CARe) consortium. Atherosclerosis; 2012;222: 138e47.
Desormais I, Aboyans V, Guerchet M, et al. Prevalence of peripheral artery disease in the elderly population in urban and rural areas of Central Africa: the EPIDEMCA study. Eur J Prev Cardiol; 2014;22: 1462e72.
Batty GD, Russ TC, Stamatakis E, Kivimaki M. Psychological distress and risk of peripheral vascular disease, abdominal aortic aneurysm, and heart failure: pooling of sixteen cohort studies. Atherosclerosis; 2014;236: 385e8.
Köksal C. İntermittan klodikasyon. In: Bozkurt AK, editor. Periferik arter ve ven hastalıkları ulusal tedavi kılavuzu. İstanbul: Bayçınar Tıbbi Yayıncılık; 2016. p. 12–26.
Firnhaber JM, Powell CS. Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment. Am Fam Physician; 2019 Mar 15;99(6): 362-369. Erratum in: Am Fam Physician. 2019 Jul 15;100(2):74. PMID: 30874413.
Torrence G, Wrobel JS. A case of mistaken identity: Classic Kaposi sarcoma misdiagnosed as a diabetic foot ulcer in an atypical patient. Clin Diabetes Endocr; 2019;(5): 8.
Aboyans MH, Criqui P, Abraham MA, et al. Measurement and Interpretation of the Ankle-Brachial Index: A Scientific Statement From the American Heart Association Circulation; 2012;126: pp. 2890-2909.
Broderick C, Pagnamenta F, Forster R. Dressings and topical agents for arterial leg ulcers. Cochrane Database Syst Rev; 2020 Jan 20;1(1): CD001836. doi: 10.1002/14651858.CD001836.pub4. PMID: 31978262; PMCID: PMC6984409.
Federman DG, Ladiiznski B, Dardik A, al. Wound healing society 2014 update on guidelines for arterial ulcers. Wound Rep Reg; 2016;24: 127-35.
