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Infrapopliteal peripheral arterial disease and critical limb ischemia: The time has come for collaborative,
1Sections of Vascular Medicine and Interventional Cardiology, Department of Cardiology, Lahey Hospital and Medical Center, Tufts University School of Medicine, Burlington, Massachusetts.
Abstract:
The diagnosis, surveillance, and management of infrapopliteal critical limb ischemia remain inconsistent among clinicians. This study demonstrates that using an absolute ankle pressure of >73 mm Hg or an absolute toe pressure increase of 1 mm Hg or greater post endovascular intervention in patients with infrapopliteal critical limb ischemia may be predictive of a reduction in target limb revascularization, amputation, and death. This study highlights the need for vascular societies to come together to promote standardized screening, surveillance, and treatment paradigms for this complex population.
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