42
Treatment
10.1. Team-Based Care for CLTI
COR LOE
Recommendation
1 B-NR
1. In patients with CLTI, a multispecialty care team should
evaluate and provide comprehensive care with goals of
complete wound healing, minimizing tissue loss, and
preservation of ambulatory status.
Table 15. Multispecialty Care Team for PAD
A team of professionals representing different specialties and disciplines to
assist in the evaluation and management of the patient with PAD. For the care
of patients who also have CLTI, the team should include individuals who are
skilled in endovascular revascularization, surgical revascularization, wound-
healing therapies and foot surgery, and medical evaluation and care.
Interdisciplinary care team members may include:
• Vascular medical and surgical specialists (ie, vascular medicine, vascular surgery,
vascular interventional radiolog y, interventional cardiolog y)
• Advance Practice Provider (APP) – Nurse Practitioners/Physician Assistants
• Nurses
• Podiatrists, orthopedic surgeons, or both
• Wound care specialists
• Endocrinologists
• Internal medicine specialists
• Infectious disease specialists
• Diagnostic radiologists and other vascular imaging specialists
• Pharmacists
• Physical medicine and rehabilitation clinicians
• Social workers
• Clinical exercise physiologists
• Physical and occupational therapists
• Nutritionists and dieticians
• Patients and family members (collaborate with multispecialty care team)
Modified with permission from Gerhard-Herman MD, et al. Copyright © 2017 American
Heart Association, Inc., and American College of Cardiolog y Foundation.
