There are multiple treatment options available for both arterial and venous ulcers. Starting with identifying the cause, treatment options include trying to maintain a healthy diet, decreasing Hemoglobin A1c in patients with diabetes, and ceasing smoking in patients who continue to smoke. Wound care is crucial, especially debridement and removal of any type of infection that may be present. When it comes to other procedural treatments for either arterial or venous ulcers, or combined arterial and venous ulcers, you have to identify the problem. If there is an arterial flow problem, meaning not enough arterial blood flow coming down towards that wound base, there are several treatment options to try to open up those blood vessels, including an endovascular approach. This approach usually requires an angiogram and some sort of re-vascularization, either using a balloon, an atherectomy type of device to clear the plaque, or a stent to prop open that blood vessel.
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