Mustapha Jihad A, Saab Fadi A, Martinsen Brad J, Pena Constantino S, Zeller Thomas, Driver Vickie R, Neville Richard F, Lookstein Robert, van den Berg Jos C, Jaff Michael R, Michael Paul, Henao Steve, AlMahameed Amjad, Katzen Barry
Advanced Cardiac & Vascular Centers for Amputation Prevention, Grand Rapids, MI, USA.
Department of Clinical and Scientific Affairs, Cardiovascular Systems, Inc, St Paul, MN, USA.
J Endovasc Ther. 2020 Aug;27(4):540-546. doi: 10.1177/1526602820928590. Epub 2020 May 29.
Despite recent guideline updates on peripheral artery disease (PAD) and critical limb ischemia (CLI) treatment, the optimal treatment for CLI is still being debated. As a result, care is inconsistent, with many CLI patients undergoing an amputation prior to what many consider to be mandatory: consultation with an interdisciplinary specialty care team and a comprehensive imaging assessment. More importantly, quality imaging is critical in CLI patients with below-the-knee disease. Therefore, the CLI Global Society has put forth an interdisciplinary expert recommendation for superselective digital subtraction angiography (DSA) that includes the ankle and foot in properly indicated CLI patients to optimize limb salvage. A recommended imaging algorithm for CLI patients is included.
尽管近期有关外周动脉疾病（PAD）和严重肢体缺血（CLI）治疗的指南有所更新，但CLI的最佳治疗方案仍存在争议。因此，治疗并不一致，许多CLI患者在许多人认为是必要的步骤之前就接受了截肢手术：与跨学科专业护理团队进行会诊以及全面的影像学评估。更重要的是，高质量成像对于膝下疾病的CLI患者至关重要。因此，CLI全球协会针对超选择性数字减影血管造影（DSA）提出了一项跨学科专家建议，该建议包括对适当指征的CLI患者的踝部和足部进行检查，以优化肢体挽救。文中还包括了针对CLI患者的推荐成像算法。
