Current Status of Arterial Revascularization for the Treatment of Critical Limb Ischemia in Infrainguinal Atherosclerotic Disease

Abstract

Critical limb ischemia (CLI) is the most severe form of peripheral arterial disease (PAD) that may result in limb loss and even death; thus, the fast and proper treatment should be employed as earlier as possible to prevent these catastrophic consequences. Arterial revascularization is almost always an indispensable treatment option for CLI. Although both endovascular and surgical revascularization procedures have an important role, nowadays, the hybrid revascularization as a combination of these revascularization procedures has also gained increasing popularity in the treatment of patients with CLI. This review provides an update on the arterial revascularization strategies for the treatment of CLI.

Effects of Lower Limb Revascularization on the Microcirculation of the Foot: A Retrospective Cohort Study

“…Treatment of CLTI requires a multidisciplinary approach using medical, surgical, and endovascular interventions with the goal of relieving the patient’s symptoms and enhancing quality of life. Apart from modifying the risk factors, revascularization is a key management procedure for treating CLTI patients along with pharmacological interventions (e.g., antihypertensives, antiplatelets) and wound healing therapies [ 7 ]. Previous work has shown improved rates of limb salvage following revascularization in patients with PAD compared to other medical treatment options [ 8 ].…”