Arterial Leg Ulcers in the Octogenarian

Allegra L Fierro; Marnie Abeshouse; Tomer Lagziel; John C Lantis 2nd

doi:10.1016/j.cger.2023.12.010

Arterial Leg Ulcers in the Octogenarian

Clin Geriatr Med. 2024 Aug;40(3):397-411. doi: 10.1016/j.cger.2023.12.010. Epub 2024 Jan 24.

Authors

Allegra L Fierro¹, Marnie Abeshouse², Tomer Lagziel², John C Lantis 2nd³

Affiliations

¹ Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA. Electronic address: Allegra.Fierro@mountsinai.org.
² Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
³ Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA; Department of Surgery, Mount Sinai West, 425 West 59th Street, 7th Floor, New York, NY 10019, USA.

PMID: 38960533
DOI: 10.1016/j.cger.2023.12.010

Abstract

Arterial leg ulcers are a debilitating sequela of chronic ischemia, and their management, particularly in the octogenarian, is an immense challenge. ALUs are frequently a manifestation of end-stage peripheral arterial disease, and their presence portends a high morbidity and mortality. Management primarily relies on restoration of flow, but in the geriatric population, interventions may carry undue risk and pathologies may not be amenable. Adjunctive therapies that improve quality of life and decrease morbidity and mortality are therefore essential, and understanding their benefits and limitations is crucial in developing a multimodal treatment algorithm of care for the uniquely challenging octogenarian population.

Keywords: Adjunctive therapies for ischemic disease; Arterial leg ulcers; Geriatric leg ulcers.

Publication types

Review

MeSH terms

Aged, 80 and over
Humans
Leg Ulcer* / etiology
Leg Ulcer* / therapy
Peripheral Arterial Disease* / diagnosis
Peripheral Arterial Disease* / therapy
Quality of Life