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Guidelines and Consensus   

International Angiology 2022 Sep 02

DOI: 10.23736/S0392-9590.22.04933-1

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

International Union of Angiology (IUA) position statement on no-option chronic limb threatening ischemia

Nicola TROISI 1 , Mario D'ORIA 2, José FERNANDES E FERNANDES 3, Nikos ANGELIDES 4, Efthymios AVGERINOS 5, Christos LIAPIS 5, Emad HUSSEIN 6, Indrani SEN 7, Peter GLOVICZKI 7, Pavel POREDOS 8, Sandeep PANDEY 9, Federico BISCETTI 10, Michal JUSZYNSKI 11, Petar ZLATANOVIC 12, Roberto FERRARESI 13, Alberto PIAGGESI 14 , Javier PEINADO CEBRIAN 15, Armando MANSILHA 16, Pier Luigi ANTIGNANI 17

1 Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy; 2 Division of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste, Trieste, Italy; 3 Hospital da Luz Torres de Lisboa, Faculty of Medicine, University of Lisbon, Lisbon, Portugal; 4 Cardiovascular Unit, Old Nicosia General Hospital, University of Nicosia, Nicosia, Cyprus; 5 Clinic of Vascular and Endovascular Surgery, Athens Medical Center, Athens, Greece; 6 Vascular & Endovascular Surgery Department, Ain Shams University Department, Cairo, Egypt; 7 Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA; 8 Department for Vascular Disease, University of Ljubljana, Ljubljana, Slovenia; 9 Annapurna Vascular Center, Kathmandu, Nepal; 10 Medicina Interna Cardiovascolare, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy; 11 Department of Vascular Surgery and Angiology, Centre of Postgraduate Medical Education, Warsaw, Poland; 12 Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia; 13 Clinic of Diabetic Foot, San Carlo Clinic, Paderno Dugnano, Milan, Italy; 14 Diabetic Foot Section, Department of Medicine, University of Pisa, Pisa, Italy; 15 Vascular & Endovascular Surgery Department, Hospital Universitario de Toledo, Toledo, Spain; 16 Department of Vascular Surgery, Hospital São João, Faculty of Medicine of University of Porto, Porto, Portugal; 17 Vascular Centre, Nuova Villa Claudia, Rome, Italy


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This position paper, written by members of International Union of Angiology (IUA) Youth Committee and senior experts, shows an overview of therapeutical approaches for patients with Chronic Limb-Threatening Ischemia (CLTI) and absence of ‘standard’ solutions for revascularization. The aim is to demonstrate the accurate management of the ‘no-option’ CLTI patient including the wound treatment and the rehabilitation, considering always the goal of the increase of quality of life of the patients.


KEY WORDS: Wound management; Cell therapy; Amputation; Vascular surgery

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