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Contemporary Outcomes of Endovascular Intervention for Critical Limb Ischemia
Pratik K Dalal1, Anand Prasad1
1Department of Cardiovascular Diseases, University of Texas Health Science Center, 7703 Floyd Curl Drive, MC 7872, San Antonio, TX 78229, USA.
Abstract:
Critical limb ischemia (CLI) remains a significant cause of morbidity and mortality in patients with peripheral arterial disease. Optimal treatment strategies for CLI remain controversial. The only randomized trial comparing surgical with endovascular revascularization suggests no significant difference in limb salvage between open surgical bypass and angioplasty. Although novel endovascular strategies are now available, their efficacies remain largely untested in a randomized fashion. This review provides an overview of the data surrounding contemporary outcomes of endovascular therapy with an emphasis on current knowledge gaps.
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