The Role of Lower Extremity Amputation in Chronic Limb-Threatening Ischemia
Tanner I. Kim, Carlos Mena, Bauer E. Sumpio
Abstract
Chronic limb-threatening ischemia (CLTI) is a severe form of peripheral artery disease associated with high rates of limb loss. The primary goal of treatment in CLTI is limb salvage via revascularization. Multidisciplinary teams provide improved care for those with CLTI and lead to improved limb salvage rates. Not all patients are candidates for revascularization, and a subset will require major amputation. This article highlights the role of amputations in the management of CLTI, and describes the patients who should be offered primary amputation.
Topics & Concepts
MedicineRevascularizationAmputationCritical limb ischemiaIschemiaLimb ischemiaArterial diseaseInternal medicineSurgeryVascular diseaseMyocardial infarctionPeripheral Artery Disease ManagementDiabetic Foot Ulcer Assessment and ManagementDiagnosis and Treatment of Venous Diseases