Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage.
Jihad A MustaphaFadi A SaabBrad J MartinsenConstantino S PenaThomas ZellerVickie R DriverRichard F NevilleRobert LooksteinJos C van den BergMichael R JaffPaul MichaelSteve HenaoAmjad AlMahameedBarry KatzenPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2020)
Despite recent guideline updates on peripheral artery disease (PAD) and critical limb ischemia (CLI) treatment, the optimal treatment for CLI is still being debated. As a result, care is inconsistent, with many CLI patients undergoing an amputation prior to what many consider to be mandatory: consultation with an interdisciplinary specialty care team and a comprehensive imaging assessment. More importantly, quality imaging is critical in CLI patients with below-the-knee disease. Therefore, the CLI Global Society has put forth an interdisciplinary expert recommendation for superselective digital subtraction angiography (DSA) that includes the ankle and foot in properly indicated CLI patients to optimize limb salvage. A recommended imaging algorithm for CLI patients is included.
Keyphrases
- end stage renal disease
- palliative care
- peripheral artery disease
- high resolution
- newly diagnosed
- patients undergoing
- ejection fraction
- healthcare
- chronic kidney disease
- computed tomography
- optical coherence tomography
- magnetic resonance imaging
- total knee arthroplasty
- photodynamic therapy
- patient reported outcomes
- fluorescence imaging
- clinical practice
- combination therapy
- smoking cessation
- patient reported
- affordable care act
- dual energy