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-Reference-Cited by-同舟云学术

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

Published:2020-05-29 Issue:4 Volume:27 Page:540-546
ISSN:1526-6028
Container-title:Journal of Endovascular Therapy
language:en
Short-container-title:J Endovasc Ther

Author:

Mustapha Jihad A.¹^ORCID,Saab Fadi A.¹,Martinsen Brad J.²,Pena Constantino S.³,Zeller Thomas⁴^ORCID,Driver Vickie R.⁵,Neville Richard F.⁶,Lookstein Robert⁷,van den Berg Jos C.⁸⁹^ORCID,Jaff Michael R.¹⁰,Michael Paul¹¹,Henao Steve¹²,AlMahameed Amjad¹³,Katzen Barry¹⁴

Affiliation:

1. Advanced Cardiac & Vascular Centers for Amputation Prevention, Grand Rapids, MI, USA

2. Department of Clinical and Scientific Affairs, Cardiovascular Systems, Inc, St Paul, MN, USA

3. Miami Cardiac and Vascular Institute, Miami, FL, USA

4. Department of Angiology, Universitäts-Herzzentrum, Bad Krozingen, Germany

5. Department of Orthopedic Surgery, Brown University, Providence, RI, USA

6. Department of Surgery, Inova Heart and Vascular Institute, Falls Church, VA, USA

7. Department of Radiology, Ichan School of Medicine at Mount Sinai, New York, NY, USA

8. Centro Vascolare Ticino, Ospedale Regionale di Lugano, Switzerland

9. Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie Inselspital, Universitätsspital Bern, Switzerland

10. Newton-Wellesley Hospital, Newton, MA, USA

11. JFK Medical Center, Atlantis, FL, USA

12. Department of Vascular Surgery, New Mexico Heart Institute, Albuquerque, NM, USA

13. Novant Health Heart & Vascular Institute, Charlotte, NC, USA

14. Division of Interventional Radiology, Miami Cardiac and Vascular Institute, Miami, FL, USA

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.

Funder

CLI Global Society

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/1526602820928590

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