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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 
1   Division of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut
,
Carlos Mena
2   Cardiology Section, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut
,
Bauer E. Sumpio
1   Division of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut
2   Cardiology Section, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut
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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


Publikationsverlauf

Artikel online veröffentlicht:
14. Mai 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 

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