The Role of Lower Extremity Amputation in Chronic Limb-Threatening Ischemia

Tanner I. Kim; Carlos Mena; Bauer E. Sumpio

doi:10.1055/s-0040-1710075

International Journal of Angiology, Table of Contents

Int J Angiol 2020; 29(03): 149-155
DOI: 10.1055/s-0040-1710075

Review Article

The Role of Lower Extremity Amputation in Chronic Limb-Threatening Ischemia

Tanner I. Kim

¹Division of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut

,

Carlos Mena

²Cardiology Section, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut

,

Bauer E. Sumpio

¹Division of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut

²Cardiology Section, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut

› Author Affiliations

Abstract

Chronic limb-threatening ischemia (CLTI) is a severe form of peripheral artery disease associated with high rates of limb loss. The primary goal of treatment in CLTI is limb salvage via revascularization. Multidisciplinary teams provide improved care for those with CLTI and lead to improved limb salvage rates. Not all patients are candidates for revascularization, and a subset will require major amputation. This article highlights the role of amputations in the management of CLTI, and describes the patients who should be offered primary amputation.

Keywords

amputation - peripheral artery disease - chronic limb-threatening ischemia - artery - risk factors - end-stage renal disease

Full Text

References

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