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Current Cardiology Reports

Erschienen in:

01.09.2018 | Peripheral Vascular Disease (CJ Cooper and R Gupta, Section Editors)

Preventing Major Amputations in Patients with Critical Limb Ischemia

verfasst von: Eric W. Rudofker, Shea E. Hogan, Ehrin J. Armstrong

Erschienen in: Current Cardiology Reports | Ausgabe 9/2018

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Abstract

Purpose of Review

This review summarizes the risks of lower extremity amputation associated with critical limb ischemia (CLI) and discusses current therapies that can prevent amputation in CLI.

Recent Findings

CLI remains an under-recognized condition associated with high rates of major amputation and disparities in care. Optimal medical therapy can reduce the risk of major adverse cardiovascular and limb events, but revascularization combined with close wound care remains the cornerstone of amputation prevention. Endovascular revascularization has become more common over time and has been associated with a reduction in amputation rates. Ongoing clinical trials will help inform best practices for revascularization strategies and techniques.

Summary

Vascular care is inconsistent across the USA, with significant variation in access to care revascularization rates and rates of major amputation. Major amputation can be prevented in patients with CLI when optimal medical therapy, lifestyle modification, and revascularization are provided in a multidisciplinary setting.

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Titel: Preventing Major Amputations in Patients with Critical Limb Ischemia
verfasst von: Eric W. Rudofker
Shea E. Hogan
Ehrin J. Armstrong
Publikationsdatum: 01.09.2018
Verlag: Springer US
Erschienen in: Current Cardiology Reports / Ausgabe 9/2018
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-018-1019-2

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Preventing Major Amputations in Patients with Critical Limb Ischemia