SVS Guidelines Bundle

Chronic Limb-Threatening Ischemia

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106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 Order additional copies at Copyright © 2019 All rights reserved SVSCLTI19103c Disclaimer is pocket guide attempts to define principles of practice that should produce high-quality patient care. It focuses on the needs of primary care practice, but also is applicable to providers at all levels. is pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Source Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, Mills JL, Ricco JB, Suresh KR, Murad MH. Global vascular guideline on the management of chronic limb- threatening ischemia. J Vasc Surg. 2019;69(6s):1-122. Abbreviations ABI, ankle-brachial index; AI, aortoiliac; AKA, above-knee amputation; AP, ankle pressure; AT, anterior tibial; BKA, below-knee amputation; CE-MRA, contrast-enhanced MRA; CFA, common femoral artery; CLTI, chronic limb-threatening ischemia; CTA, computed tomography angiography; DAPT, dual antiplatelet therapy; DM, diabetes mellitus; DUS, duplex ultrasound; EBR, evidence-based revascularization; ESVS, European Society for Vascular Surgery; FP, femoropopliteal; GLASS, Global Limb Anatomic Staging System; GRADE, Grading of Recommendations Assessment, Development, and Evaluation; GSV, great saphenous vein; HBOT, hyperbaric oxygen therapy; HRQL, health-related quality of life; IPC, intermittent pneumatic compression; LS, lumbar sympathectomy; MRA, magnetic resonance angiography; OPG, objective performance goal; PAD, peripheral artery disease; PFA, profunda femoris artery; PLAN, Patient risk estimation, Limb staging, ANatomic pattern of disease; PROM, patient- reported outcomes measure; PSV, peak systolic velocity; PVR, pulse volume recording ; RCT, randomized controlled trial; SCS, spinal cord stimulation; SVS, Society for Vascular Surgery; TAP, target arterial path; TBI, toe-brachial index; TKA, through-knee amputation; TP, toe pressure; WFVS, World Federation of Vascular Societies; WIf I, Wound, Ischemia, foot Infection Recommendation Grading Strength of Recommendation Level of Evidence 1 – Strong Benefit clearly outweighs risk A High 2 – Weak Benefits and risks are more closely matched and are more dependent on specific clinical scenarios B Moderate C Low GPS Good Practice Statement – Ungraded

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