Building a Critical Limb Ischemia Program.
The need to develop highly qualified, multidisciplinary critical limb ischemia (CLI) programs has gained significant momentum. Due to the systemic nature of the disease, patients with CLI are inherently medically complex and often present with multiple comorbidities. Successful care for these patients depends on community screening, early referral, accurate diagnosis, risk stratification, risk factor modification, invasive and non-invasive treatment strategies, and appropriate surveillance. Patients with CLI are often treated by multiple subspecialists-often lacking a unified team which could lead to inefficiencies and redundancy. Establishing an effective critical limb ischemia program relies on the joint efforts of multiple physician specialists, nurses, technicians, wound care specialists, researchers, and administrators who together form an integrated network that is easily accessible to the patient. This article will focus on the various modalities needed to build an advanced critical limb ischemia program, while addressing the challenges facing the medical community in caring for this population.
Department of Cardiology:Vascular Medicine and Peripheral Vascular Intervention Program, Northwell Health, 300 Community Drive, Manhasset, NY, USA.
Andrew M
AM
Galmer
Department of Cardiology:Vascular Medicine and Peripheral Vascular Intervention Program, Northwell Health, 300 Community Drive, Manhasset, NY, USA.
Samy M
SM
Selim
Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA, 19104, USA.
Jay
J
Giri
Department of Cardiology:Vascular Medicine and Peripheral Vascular Intervention Program, Northwell Health, 27005 76th Ave, New Hyde Park, NY, 11040, USA.
Joe F
JF
Lau
Department of Cardiology:Vascular Medicine and Peripheral Vascular Intervention Program, Northwell Health, 300 Community Drive, Manhasset, NY, USA. mweinberg4@northwell.edu.
Mitchell D
MD
Weinberg
Amputation; Atherosclerosis; Critical limb ischemia; Endovascular revascularization; Limb salvage; Peripheral artery disease