Current state of diagnosis and management of critical limb ischemia.
Critical limb ischemia represents the most severe form of peripheral arterial disease and carries with it severe morbidity and mortality risks. Because of comorbidity risks, early diagnosis and aggressive medical management make up an important part of the treatment paradigm for these individuals. However, in addition to managing these comorbid conditions, the physician caring for these individuals must be able to provide revascularization options that will improve arterial flow to the threatened extremity and assure healing of complicated wounds. Both open surgical and endovascular therapies have proven beneficial in restoring flow to severely ischemic limbs in these patients. Additionally, combinations of the above therapeutic methods have offered more available options for these patients. This article reviews care of patients with critical limb ischemia with critical assessment of options for medical and revascularization options.
Department of Vascular Surgery, Cleveland Clinic Lerner College of Medicine,Cleveland, OH 44195, USA. CLAIRD@ccf.org
Dan
D
Clair
Samir
S
Shah
John
J
Weber
D000671:Amputation, Surgical / Q000706:statistics & numerical data; D000792:Angiography; D059350:Chronic Pain / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D015897:Comorbidity; D003422:Critical Care / Q000592:standards*; D016638:Critical Illness; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D057775:Ischemic Postconditioning; D023821:Limb Salvage; D035002:Lower Extremity / Q000098:blood supply* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D058729:Peripheral Arterial Disease / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D016540:Smoking Cessation; D034941:Upper Extremity / Q000098:blood supply* / Q000503:physiopathology / Q000601:surgery; D014945:Wound Healing
D010975:Platelet Aggregation Inhibitors