Chronic limb threatening ischemia (CLTI) poses a significant treatment challenge for vascular surgeons, interventionalists, podiatrists, and associated medical specialists. The evidence for what constitutes appropriate care is rapidly evolving and new treatment options are in constant development. This review examines the current guidelines for CLTI care, as well as reported outcomes for multiple care strategies in this patient population, including revascularization and medical optimization. We performed a literature review of the PubMed database, reviewing articles that reported outcomes for CLTI care between 2000 and 2023, and described these outcomes as they relate to the current state of CLTI treatment. Significant data are still forthcoming regarding CLTI care, but widespread adoption of appropriate CLTI care is essential for the treatment of this vulnerable population.
Keyphrases
- healthcare
- palliative care
- quality improvement
- pain management
- type diabetes
- acute coronary syndrome
- emergency department
- adipose tissue
- metabolic syndrome
- artificial intelligence
- clinical practice
- chronic pain
- coronary artery disease
- big data
- electronic health record
- percutaneous coronary intervention
- smoking cessation
- glycemic control
- coronary artery bypass grafting