Department of Vascular Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Diagn Interv Radiol. 2013 Mar-Apr;19(2):173-80. doi: 10.4261/1305-3825.DIR.5955-12.1.
Critical limb ischemia (CLI) is a growing epidemic with bleak patient outcomes. A variety of treatment modalities have been adopted to address CLI based on comorbidities, life expectancy, and the nature of the arterial disease. With advances in technology and treatment strategies, the clinical outcomes of CLI patients have significantly improved over recent years. However, despite progress, patency rates of both surgical and endovascular interventions, limb-salvage and amputation rates are still dismal. We review the epidemiology, treatment strategies, imaging modalities, and the microcirculation aspect of CLI.
严重肢体缺血(CLI)是一种日益流行的疾病,患者预后较差。根据合并症、预期寿命和动脉疾病的性质,采用了多种治疗方式来治疗 CLI。随着技术和治疗策略的进步,近年来 CLI 患者的临床结果得到了显著改善。然而,尽管取得了进展,但手术和血管内介入治疗、保肢和截肢的通畅率仍然很差。我们回顾了 CLI 的流行病学、治疗策略、影像学模式和微循环方面。