Chronic Limb-Threatening Ischemia
Society for Vascular SurgeryPublished: October 30, 2019
- Key Points
- Recommendations
- Definitions and nomenclature
- Global epidemiology and risk factors for CLTI
- Diagnosis and limb staging in CLTI
- Medical management
- The GLASS for CLTI
- Strategies for EBR
- Nonrevascularization treatments of the limb
- Biologic and regenerative medicine approaches in CLTI
- The role of minor and major amputations
- Postprocedural care and surveillance after infrainguinal revascularization for CLTI
- Tables
- Wound grading in Wound, Ischemia, and foot Infection (WIfI) classification
- Ischemia grading in Wound, Ischemia, and foot Infection (WIfI) classification
- Foot infection grading in Wound, Ischemia, and foot Infection (WIfI) classification
- Assignment of GLASS stage
- Descriptive summary of GLASS stages of infrainguinal arterial disease
- Algorithms
- Flow diagram for the investigation of patients presenting with suspected CLTI
- Suggested algorithm for anatomic imaging in patients with CLTI who are candidates for revascularization
- PLAN framework of clinical decision-making in CLTI; infrainguinal disease
- Figures
- SVS WIfI Clinical Limb Stage
- The benefit of performing re-vascularization in CLTI increases with degree of ischemia and with the severity of limb threat (WIfI stage)
- Femoropopliteal (FP) disease grading in GLASS
- Infrapopliteal (IP) disease grading in GLASS
- Flow chart illustrating application of GLASS to stage infrainguinal disease pattern in CLTI
- Inframalleolar (IM)/pedal disease descriptor in GLASS
- Preferred initial revascularization strategy for infrainguinal disease in average-risk patients with suitable autologous vein conduit available for bypass
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