Limb Salvage and Survival in Chronic Limb-Threatening Ischemia: The Need for a Fast-Track Team-Based Approach

被引:9
|
作者
Ventoruzzo, Giorgio [1 ]
Mazzitelli, Giulia [1 ]
Ruzzi, Umberto [1 ]
Liistro, Francesco [2 ]
Scatena, Alessia [3 ]
Martelli, Eugenio [4 ,5 ,6 ]
机构
[1] San Donato Hosp Arezzo, Local Hlth Author South East Tuscany, Vasc Surg Unit, I-52100 Arezzo, Italy
[2] San Donato Hosp Arezzo, Intervent Cardiol Unit, Local Hlth Author South East Tuscany, I-52100 Arezzo, Italy
[3] San Donato Hosp Arezzo, Diabetol Unit, Local Hlth Author South East Tuscany, I-52100 Arezzo, Italy
[4] Sapienza Univ Rome, Fac Pharm & Med, Dept Gen & Specialist Surg, 155 Viale Policlin, I-00161 Rome, Italy
[5] St Camillus Int Univ Hlth Sci, Med & Surg Sch Med, 8 Via St Alessandro, I-00131 Rome, Italy
[6] S Anna & S Sebastiano Hosp, Dept Cardiovasc Sci, Div Vasc Surg, Via F Palasciano, I-81100 Caserta, Italy
关键词
peripheral arterial disease; critical limb ischemia; chronic limb-threatening ischemia; survival; mortality; limb salvage; DRUG-ELUTING BALLOON; PERIPHERAL ARTERY-DISEASE; NATURAL-HISTORY; AMPUTATION; MORTALITY; GUIDELINES; OUTCOMES; BURDEN; STENT; TRIAL;
D O I
10.3390/jcm12186081
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chronic limb-threatening ischemia (CLTI) represents the end-stage form of peripheral arterial disease (PAD) and is associated with a very poor prognosis and high risk of limb loss and mortality. It can be considered very similar to a terminal cancer disease, reflecting a large impact on quality of life and healthcare costs. The aim of this study is to offer an overview of the relationship between CLTI, limb salvage, and mortality, with a focus on the need of a fast-track team-based management that is a driver to achieve better survival results. This review can be useful to improve management of this growing impact disease, and to promote the standardisation of care and communication between specialist and non-specialist healthcare professionals.
引用
收藏
页数:10
相关论文
共 50 条
  • [1] Team-Based Care in Patients with Chronic Limb-Threatening Ischemia
    Yulanka Castro-Dominguez
    Mehdi H. Shishehbor
    [J]. Current Cardiology Reports, 2022, 24 : 217 - 223
  • [2] Team-Based Care in Patients with Chronic Limb-Threatening Ischemia
    Castro-Dominguez, Yulanka
    Shishehbor, Mehdi H.
    [J]. CURRENT CARDIOLOGY REPORTS, 2022, 24 (03) : 217 - 223
  • [3] Chronic Limb-Threatening Ischemia and the Need for Revascularization
    Berchiolli, Raffaella
    Bertagna, Giulia
    Adami, Daniele
    Canovaro, Francesco
    Torri, Lorenzo
    Troisi, Nicola
    [J]. JOURNAL OF CLINICAL MEDICINE, 2023, 12 (07)
  • [4] Plantar Artery Bypass for Chronic Limb-Threatening Ischemia: Patency and Limb Salvage
    Aboukheir, Aihab
    Pereira, Gabriel
    Torres, Alexander
    Fraticelli, Ricardo
    Mulero-Soto, Patricia
    Rovira, Omar J.
    Santini-Dominguez, Rafael
    Martinez-Trabal, Jorge
    [J]. JOURNAL OF VASCULAR SURGERY, 2020, 72 (01) : E13 - E14
  • [5] Chronic Limb-Threatening Ischemia
    Farber, Alik
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2018, 379 (02): : 171 - 180
  • [6] Sarcopenia as a Possible Negative Predictor of Limb Salvage in Patients with Chronic Limb-Threatening Ischemia
    Taniguchi, Ryosuke
    Deguchi, Juno
    Hashimoto, Takuya
    Sato, Osamu
    [J]. ANNALS OF VASCULAR DISEASES, 2019, 12 (02) : 194 - 199
  • [7] Impact of Statins on Survival and Limb Salvage in Patients Undergoing Peripheral Endovascular Intervention for Chronic Limb-Threatening Ischemia
    Chang, Matthew
    O'Brien-Irr, Monica
    Montross, Brittany
    Dosluoglu, Hasan
    Harris, Linda
    Dryjski, Maciej
    Rivero, Mariel
    Khan, Sikandar Z.
    [J]. ANNALS OF VASCULAR SURGERY, 2023, 91 : 20 - 27
  • [8] Advances in chronic limb-threatening ischemia
    Hammad, Tarek A.
    Shishehbor, Mehdi H.
    [J]. VASCULAR MEDICINE, 2021, 26 (02) : 126 - 130
  • [9] Percutaneous Deep Venous Arterialization for Limb Salvage in No Option Patients with Chronic Limb-Threatening Ischemia
    Spiliopoulos, Stavros
    Davoutis, Efstathia
    Arkoudis, Nikolaos-Achilleas
    Sritharan, Kaji
    Lechareas, Symeon
    [J]. JOURNAL OF CLINICAL MEDICINE, 2023, 12 (23)
  • [10] Improving Limb Salvage for Chronic Limb-Threatening Ischemia With Spinal Cord Stimulation: A Retrospective Analysis
    Cyrek, Anna E.
    Henn, Nora
    Meinhardt, Fabian
    Lainka, Martin
    Pacha, Arkadius
    Paul, Andreas
    Koch, Dietrich
    [J]. VASCULAR AND ENDOVASCULAR SURGERY, 2021, 55 (04) : 367 - 373