40
Treatment
Figure 7. Algorithm for Management of CLTI
Ultrasound mapping of
the great saphenous vein
(1)
Surgical, endovascular, or
hybrid revascularization
(1)
Diabetic
foot ulcer
(1)
Nondiabetes
related ulcer
(2b)
Wound care
(1)
Primary
amputation/
palliative
management if
consistent with
limb status, patient
risk, patient/family
goals of care
(1)
Wound care
postrevascularization
(1)
"No option"
therapies
(2b)
Revascularization
candidate?
NO
Pressure offloading
of ulcers
YES
No
revascularization
option
Assess revascularization
options/determine
strategy based on
patient anatomy,
conduit, comorbidities/
risk, patient preferences
Patients with
CLTI
