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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, Jihad A; Saab, Fadi A; Martinsen, Brad J; Pena, Constantino S; Zeller, Thomas; Driver, Vickie R; Neville, Richard F; Lookstein, Robert; van den Berg, Jos C; Jaff, Michael R; Michael, Paul; Henao, Steve; AlMahameed, Amjad; Katzen, Barry.
Affiliation
  • 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; Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie Inselspital, Universitätsspital Bern, Switzerland.
  • Michael P; Newton-Wellesley Hospital, Newton, MA, USA.
  • Henao S; JFK Medical Center, Atlantis, FL, USA.
  • AlMahameed A; Department of Vascular Surgery, New Mexico Heart Institute, Albuquerque, NM, USA.
  • Katzen B; Novant Health Heart & Vascular Institute, Charlotte, NC, USA.
J Endovasc Ther ; 27(4): 540-546, 2020 Aug.
Article in En | MEDLINE | ID: mdl-32469294
ABSTRACT
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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Angiography, Digital Subtraction / Limb Salvage / Peripheral Arterial Disease / Amputation, Surgical / Ischemia Type of study: Guideline / Prognostic_studies Limits: Humans Language: En Journal: J Endovasc Ther Journal subject: ANGIOLOGIA Year: 2020 Type: Article Affiliation country: United States
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Angiography, Digital Subtraction / Limb Salvage / Peripheral Arterial Disease / Amputation, Surgical / Ischemia Type of study: Guideline / Prognostic_studies Limits: Humans Language: En Journal: J Endovasc Ther Journal subject: ANGIOLOGIA Year: 2020 Type: Article Affiliation country: United States