top of page

BackTable / VI / Podcast / Episode #452

The 'Woundosome' Concept

with Dr. Lorenzo Patrone

In this episode, Dr. Ally Baheti interviews interventional radiologist Dr. Lorenzo Patrone about his recent multidisciplinary editorial entitled "The 'Woundosome' Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia.”

Sponsored by:

Reflow Medical

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

The 'Woundosome' Concept with Dr. Lorenzo Patrone on the BackTable VI Podcast)
Ep 452 The 'Woundosome' Concept with Dr. Lorenzo Patrone
00:00 / 01:04

BackTable, LLC (Producer). (2024, June 7). Ep. 452 – The 'Woundosome' Concept [Audio podcast]. Retrieved from https://www.backtable.com

BackTable CMEfy button

Stay Up To Date

Follow:

Subscribe:

Sign Up:

Podcast Contributors

Dr. Lorenzo Patrone discusses The 'Woundosome' Concept on the BackTable 452 Podcast

Dr. Lorenzo Patrone

Dr. Lorenzo Patrone is a Vascular and Interventional Radiology Consultant with London North West Healthcare NHS Trust.

Dr. Aparna Baheti discusses The 'Woundosome' Concept on the BackTable 452 Podcast

Dr. Aparna Baheti

Dr. Aparna Baheti is a practicing Interventional Radiologist in Tacoma, Washington.

Synopsis

Dr. Patrone explains his interest in critical limb ischemia (CLI) and describes how he reached out to colleagues around the world with the intention of drafting a paper that summarizes research in below-the-ankle interventions and increases awareness of the woundosome concept.

He explains the woundosome concept, which aims to understand how each patient’s foot vasculature influences the effectiveness of below-the-ankle interventions and tissue healing. Understanding each patient’s anatomy, having adequate imaging of the foot, obtaining pedal acceleration times, and using micro-oxygen sensors are strategies to assess wound perfusion, which is integral for treatment planning and prognosis. He illustrates these techniques in a case study of a non-healing wound.

Finally, Dr. Patrone shares some technical tips for below-the-ankle interventions, including the benefits of ipsilateral antegrade access, sheath selection, and strategic contrast administration.

Timestamps

00:00 - Introduction
02:25 - Multidisciplinary and Global Collaboration
05:59 - Explaining the Woundosome Concept
07:51 - Understanding Wound Perfusion
10:20 - Assessing the Effectiveness of Revascularization
20:09 - Case Example with Pictures
28:07 - Technical Tips for CLI Interventions

Resources

Find Your Algorithm (FYA):
https://fya-congress.com/

The "Woundosome" Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia:
https://journals.sagepub.com/doi/10.1177/15266028241231745?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

Vascular imaging of the foot: the first step toward endovascular recanalization (Manzi):
https://pubmed.ncbi.nlm.nih.gov/21997985/

BASIL-2 Trial:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00462-2/fulltext

BackTable VI Ep. 90- Pedal Acceleration Time for Limb Salvage with Jill Sommerset and Dr. Mary Constantino:
https://www.backtable.com/shows/vi/podcasts/90/pedal-acceleration-time-for-limb-salvage

The First-in-Man "Si Se Puede" Study for the use of micro-oxygen sensors (Montero-Baker):
https://pubmed.ncbi.nlm.nih.gov/26004327/

PEDRA Perfusion Monitoring:
https://www.pedratech.com/

Armada XT Balloon:
https://www.cardiovascular.abbott/us/en/hcp/products/peripheral-intervention/peripheral-dilatation-catheters/armada-14.html

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

backtable-earn-free-cme.jpg
backtable-plus-vi-cta.jpg
Become a BackTable Sponsor

Up Next

Percutaneous Transmural Arterial Bypass: Updates on Technique & Data with Dr. Peter Soukas on the BackTable VI Podcast)
Below the Ankle Expertise: Distal Pedal Access with Dr. Marta Lobato on the BackTable VI Podcast)
The Multidisciplinary Approach to Combatting CLI Globally with Dr. Jos van den Berg on the BackTable VI Podcast)
Acute Limb Ischemia: Timing, Technology & Triage with Dr. Charles Bailey on the BackTable VI Podcast)
True Lumen Re-Entry with Pioneer Plus with Dr. Thomas Davis on the BackTable VI Podcast)
Iliofemoral Stenting: Decision-Making & Best Practices Explored with Dr. Kush Desai and Dr. Steven Abramowitz on the BackTable VI Podcast)

Articles

Topics

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page