Journal article
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.
- Mustapha JA Advanced Cardiac & Vascular Centers for Amputation Prevention, Grand Rapids, MI, USA.
- Saab FA Advanced Cardiac & Vascular Centers for Amputation Prevention, Grand Rapids, MI, USA.
- Martinsen BJ Department of Clinical and Scientific Affairs, Cardiovascular Systems, Inc, St Paul, MN, USA.
- Pena CS Miami Cardiac and Vascular Institute, Miami, FL, USA.
- Zeller T Department of Angiology, Universitäts-Herzzentrum, Bad Krozingen, Germany.
- Driver VR Department of Orthopedic Surgery, Brown University, Providence, RI, USA.
- Neville RF Department of Surgery, Inova Heart and Vascular Institute, Falls Church, VA, USA.
- Lookstein R Department of Radiology, Ichan School of Medicine at Mount Sinai, New York, NY, USA.
- van den Berg JC Centro Vascolare Ticino, Ospedale Regionale di Lugano, Switzerland.
- Jaff MR Newton-Wellesley Hospital, Newton, MA, USA.
- Michael P JFK Medical Center, Atlantis, FL, USA.
- Henao S Department of Vascular Surgery, New Mexico Heart Institute, Albuquerque, NM, USA.
- AlMahameed A Novant Health Heart & Vascular Institute, Charlotte, NC, USA.
- Katzen B Division of Interventional Radiology, Miami Cardiac and Vascular Institute, Miami, FL, USA.
- 2020-05-30
Published in:
- Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists. - 2020
amputation prevention
chronic limb-threatening ischemia
digital subtraction angiography
expert recommendation statement
interdisciplinary specialty care
peripheral artery disease
Algorithms
Amputation
Angiography, Digital Subtraction
Clinical Decision-Making
Consensus
Critical Illness
Decision Support Techniques
Humans
Ischemia
Limb Salvage
Patient Selection
Peripheral Arterial Disease
Predictive Value of Tests
Treatment Outcome
English
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.
- Language
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- English
- Open access status
- closed
- Identifiers
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- DOI 10.1177/1526602820928590
- PMID 32469294
- Persistent URL
- https://sonar.ch/global/documents/14576
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