International Union of Angiology Position Statement on no-option chronic limb threatening ischemia

Nicola Troisi; Mario D'Oria; José Fernandes E Fernandes; Nikos Angelides; Efthymios Avgerinos; Christos Liapis; Emad Hussein; Indrani Sen; Peter Gloviczki; Pavel Poredos; Sandeep Pandey; Federico Biscetti; Michal Juszynski; Petar Zlatanovic; Roberto Ferraresi; Alberto Piaggesi; Javier Peinado Cebrian; Armando Mansilha; Pier L Antignani

doi:10.23736/S0392-9590.22.04933-1

International Union of Angiology Position Statement on no-option chronic limb threatening ischemia

Int Angiol. 2022 Oct;41(5):382-404. doi: 10.23736/S0392-9590.22.04933-1. Epub 2022 Sep 2.

Authors

Nicola Troisi¹, Mario D'Oria², José Fernandes E Fernandes³, Nikos Angelides⁴, Efthymios Avgerinos⁵, Christos Liapis⁵, Emad Hussein⁶, Indrani Sen⁷, Peter Gloviczki⁷, Pavel Poredos⁸, Sandeep Pandey⁹, Federico Biscetti¹⁰, Michal Juszynski¹¹, Petar Zlatanovic¹², Roberto Ferraresi¹³, Alberto Piaggesi¹⁴, Javier Peinado Cebrian¹⁵, Armando Mansilha¹⁶, Pier L Antignani¹⁷

Affiliations

¹ Unit of Vascular Surgery, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy - troisimd@gmail.com.
² Division of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste, Trieste, Italy.
³ da Luz Torres de Lisboa Hospital, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
⁴ Cardiovascular Unit, Old Nicosia General Hospital, University of Nicosia, Nicosia, Cyprus.
⁵ Clinic of Vascular and Endovascular Surgery, Athens Medical Center, Athens, Greece.
⁶ Department of Vascular and Endovascular Surgery, Ain Shams University, Cairo, Egypt.
⁷ Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA.
⁸ Department for Vascular Disease, University of Ljubljana, Ljubljana, Slovenia.
⁹ Annapurna Vascular Center, Kathmandu, Nepal.
¹⁰ Cardiovascular Internal Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
¹¹ Department of Vascular Surgery and Angiology, Centre of Postgraduate Medical Education, Warsaw, Poland.
¹² Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia.
¹³ Clinic of Diabetic Foot, San Carlo Clinic, Paderno Dugnano, Milan, Italy.
¹⁴ Section of Diabetic Foot, Department of Medicine, University of Pisa, Pisa, Italy.
¹⁵ Department of Vascular and Endovascular Surgery, Hospital Universitario de Toledo, Toledo, Spain.
¹⁶ Department of Vascular Surgery, Faculty of Medicine of University of Porto, Hospital São João, Porto, Portugal.
¹⁷ Vascular Centre, Nuova Villa Claudia, Rome, Italy.

PMID: 36053161
DOI: 10.23736/S0392-9590.22.04933-1

Abstract

This position paper, written by members of International Union of Angiology (IUA) Youth Committee and senior experts, shows an overview of therapeutical approaches for patients with chronic limb-threatening ischemia (CLTI) and absence of 'standard' solutions for revascularization. The aim was to demonstrate the accurate management of the 'no-option' CLTI patient including the wound treatment and the rehabilitation, considering always the goal of the increase of quality of life of the patients.

Publication types

Practice Guideline

MeSH terms

Adolescent
Amputation, Surgical
Cardiology*
Chronic Disease
Chronic Limb-Threatening Ischemia
Humans
Ischemia / diagnosis
Ischemia / therapy
Limb Salvage
Peripheral Arterial Disease* / diagnosis
Peripheral Arterial Disease* / therapy
Quality of Life
Retrospective Studies
Risk Factors
Treatment Outcome