Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage

Jihad A Mustapha; Fadi A Saab; Brad J Martinsen; Constantino S Pena; Thomas Zeller; Vickie R Driver; Richard F Neville; Robert Lookstein; Jos C van den Berg; Michael R Jaff; Paul Michael; Steve Henao; Amjad AlMahameed; Barry Katzen

doi:10.1177/1526602820928590

Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage

Jihad A Mustapha
, Fadi A Saab
, Brad J Martinsen
, Constantino S Pena
, Thomas Zeller
, Vickie R Driver
, Richard F Neville
, Robert Lookstein
, Jos C van den Berg
, Michael R Jaff
, Paul Michael
, Steve Henao
, Amjad AlMahameed
, Barry Katzen

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	540-546
Number of pages	7
Journal	Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
Volume	27
Issue number	4
DOIs	https://doi.org/10.1177/1526602820928590
State	Published - Jul 2020
Externally published	Yes

Keywords

Algorithms
Amputation, Surgical/adverse effects
Angiography, Digital Subtraction/standards
Clinical Decision-Making
Consensus
Critical Illness
Decision Support Techniques
Humans
Ischemia/diagnostic imaging
Limb Salvage/adverse effects
Patient Selection
Peripheral Arterial Disease/diagnostic imaging
Predictive Value of Tests
Treatment Outcome

Access to Document

10.1177/1526602820928590

Cite this

Mustapha, J. A., Saab, F. A., Martinsen, B. J., Pena, C. S., Zeller, T., Driver, V. R., Neville, R. F., Lookstein, R., van den Berg, J. C., Jaff, M. R., Michael, P., Henao, S., AlMahameed, A., & Katzen, B. (2020). Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists, 27(4), 540-546. https://doi.org/10.1177/1526602820928590

Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage. / Mustapha, Jihad A; Saab, Fadi A; Martinsen, Brad J et al.
In: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists, Vol. 27, No. 4, 07.2020, p. 540-546.

Research output: Contribution to journal › Article › peer-review

Mustapha, JA, Saab, FA, Martinsen, BJ, Pena, CS, Zeller, T, Driver, VR, Neville, RF, Lookstein, R, van den Berg, JC, Jaff, MR, Michael, P, Henao, S, AlMahameed, A & Katzen, B 2020, 'Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage', Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists, vol. 27, no. 4, pp. 540-546. https://doi.org/10.1177/1526602820928590

Mustapha JA, Saab FA, Martinsen BJ, Pena CS, Zeller T, Driver VR et al. Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists. 2020 Jul;27(4):540-546. doi: 10.1177/1526602820928590

Mustapha, Jihad A ; Saab, Fadi A ; Martinsen, Brad J et al. / Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI) : An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage. In: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists. 2020 ; Vol. 27, No. 4. pp. 540-546.

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title = "Digital Subtraction Angiography Prior to an Amputation for Critical Limb Ischemia (CLI): An Expert Recommendation Statement From the CLI Global Society to Optimize Limb Salvage",

abstract = "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.",

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