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REVIEW  SAVE THE SEVERELY ISCHEMIC LIMB: THE JOINT PRACTICAL APPROACHES Freefree

Italian Journal of Vascular and Endovascular Surgery 2020 December;27(4):210-6

DOI: 10.23736/S1824-4777.21.01488-1

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

When open surgery is needed: maximizing the blood flow to the foot - the distal gold standard

Ravi N. AMBANI 1, Jae S. CHO 2

1 Division of Vascular Surgery, Department of Surgery, Case Western Reserve University School of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, USA; 2 Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA



Peripheral arterial disease which progresses to chronic limb-threatening ischemia (CLTI) represents a patient population at exceptionally high risk for major amputation and mortality. CLTI has further been associated with a profound impact on a personal, societal, and fiscal level. Open surgical reconstruction has long been the gold standard approach for the treatment of CLTI. Recently, advancements in endovascular therapy have provided therapeutic options in these patients with reasonable outcomes. In this article, we review the current literature of open and endovascular outcomes in the revascularization for CLTI of the lower extremity and when open revascularization should be considered.


KEY WORDS: Ischemia; Extremities; Endovascular procedures

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