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Published on: September 22, 2020
Key Concepts in Critical Limb Ischemia: Selected Proceedings from the 2015 Vascular Interventional Advances Meeting
John H Rundback1, Ehrin J Armstrong2, Brian Contos3
1Interventional Institute, Holy Name Medical Center, Teaneck, NJ.
Insights
Critical limb ischemia (CLI), a severe peripheral artery disease, affects over 500,000 patients annually. This review covers current CLI demographics, diagnosis, and management strategies, highlighting ongoing challenges in patient care.
Area of Science:
- Vascular Medicine
- Cardiovascular Surgery
Background:
- Critical limb ischemia (CLI) is the most severe form of peripheral artery disease, impacting over 500,000 patients yearly.
- CLI carries a grave prognosis, with a 5-year mortality rate five times higher than the general population due to cardiovascular causes.
- Healthcare costs associated with CLI are substantial, with Medicare/Medicaid services paying approximately $3.6 billion in 2014 for patient care.
Purpose of the Study:
- To summarize key presentations from the 2015 Vascular Interventional Advances Conference.
- To provide an overview of the modern demographics, diagnosis, and management of patients with CLI.
- To highlight persistent challenges in the care of CLI patients despite recent advances.
Main Methods:
- Review of selected presentations from the 2015 Vascular Interventional Advances Conference.
- Synthesis of information on current CLI patient demographics.
- Compilation of contemporary diagnostic and management approaches for CLI.
Main Results:
- CLI affects a large patient population annually with significant mortality and economic burden.
- Advances in diagnosis and treatment have been made, but challenges in patient management persist.
- The conference highlighted the need for continued focus on CLI demographics, diagnosis, and treatment strategies.
Conclusions:
- CLI remains a critical health issue with high mortality and significant healthcare costs.
- Despite progress, comprehensive management strategies are essential to address the challenges in CLI care.
- Ongoing research and discussion, such as that presented at the 2015 VIA Conference, are vital for improving outcomes for CLI patients.
Abstract:
Over 500,000 patients each year are diagnosed with critical limb ischemia (CLI), the most severe form of peripheral artery disease. CLI portends a grim prognosis; half the patients die from a cardiovascular cause within 5 years, a rate that is 5 times higher than a matched population without CLI. In 2014, the Centers for Medicare and Medicaid Services paid approximately $3.6 billion for claims submitted by hospitals for inpatient and outpatient care delivered to patients with CLI. Although significant advances in diagnosis, treatment, and follow-up of patients with CLI have been made, many challenges remain. In this article, we summarize selected presentations from the 2015 Vascular Interventional Advances Conference related to the modern demographics, diagnosis, and management of patients with CLI.
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