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Management of chronic critical limb ischemia
Cardiology Clinics, 2002The patient with CLI is challenging and requires a multi-disciplinary approach to effective management that involves a team of individuals proficient in various aspects of vascular disease. Fig. 4 details the approach at the University of Michigan's comprehensive vascular medicine program.
P. Michael Grossman, Sanjay Rajagopalan
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Endovascular therapy for critical limb ischemia
Expert Review of Cardiovascular Therapy, 2015Critical limb ischemia (CLI) represents an advanced disease state of peripheral arterial disease. It manifests as lower extremity ischemic rest pain or ischemic skin lesions leading to ulceration or gangrene. Patients with CLI often have multiple medical comorbidities and a 1-year mortality rate of 25% and a 1-year amputation rate of 25%. Historically,
Arturo Dominguez+4 more
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Matrix Metalloproteinases in Critical Limb Ischemia
Journal of Surgical Research, 2008Critical limb ischemia (CLI) is most commonly the result of arterial occlusive disease, specifically atherosclerotic plaque formation and rupture within the infrainguinal arteries. The physiological response to CLI is partial limb reperfusion via the distinct processes of angiogenesis and arteriogenesis.
Rachel S. Edlin+4 more
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Surgical Management of Critical Limb Ischemia
Techniques in Vascular and Interventional Radiology, 2005At the present time, infrainguinal bypass using autogenous vein is the most effective and durable treatment for chronic limb ischemia caused by long-segment, diffuse, atherosclerotic occlusive disease. Quality of the vein conduit is the most important factor that determines operative success.
Jeffrey L. Ballard, Joseph L. Mills
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Impact of Frailty on Clinical Outcomes in Patients With Critical Limb Ischemia
Circulation. Cardiovascular Interventions, 2018Background: The predictive ability of patient frailty on clinical outcomes after revascularization in patients with critical limb ischemia remains largely unknown.
Yasuaki Takeji+9 more
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Endovascular therapy for critical limb ischemia
Vascular Medicine, 2008Abstract Chronic critical limb ischemia (CLI) occurs when arterial perfusion is reduced below a threshold level that results in rest pain and/or tissue breakdown in the lower extremities. Importantly, it is associated with high cardiovascular morbidity and mortality. Without prompt revascularization, CLI may result in loss of a limb (i.e. amputation)
Arain, Salman A., White, Christopher J.
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Treatment of critical limb ischemia in the elderly
Archives of Gerontology and Geriatrics, 1996Acute critical limb ischemia (CLI) is a rather frequent clinical event in elderly patients. Atherosclerotic plaques or cardiopathies (atrial enlargement and fibrillation, ventricular thrombosis) are the most frequent clinical situations related to peripheral embolization.
S. Forconi, M. Cuerrini
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Therapeutic angiogenesis for critical limb ischemia
Seminars in Vascular Surgery, 2014The application of gene- and cell-based therapies to promote angiogenesis is a novel concept to treat lower-limb critical limb ischemia (CLI) and may provide an unmet need for patients with no options for revascularization. Proof of concept was demonstrated in animal models resulting in clinical trials that have confirmed the feasibility and short-term
Dennis F. Bandyk, Sae Hee Ko
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The Journal of invasive cardiology, 2019
OBJECTIVE To investigate the feasibility, safety, and effectiveness of the LimFlow stent-graft system in performing percutaneous deep vein arterialization (pDVA) for treatment of critical limb ischemia (CLI) patients ineligible for conventional ...
J. Mustapha+3 more
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OBJECTIVE To investigate the feasibility, safety, and effectiveness of the LimFlow stent-graft system in performing percutaneous deep vein arterialization (pDVA) for treatment of critical limb ischemia (CLI) patients ineligible for conventional ...
J. Mustapha+3 more
semanticscholar +1 more source
Vascular access in critical limb ischemia
Cardiovascular Revascularization Medicine, 2016Currently, percutaneous endovascular intervention is considered a first line of therapy for treating patients with critical limb ischemia. As the result of remarkable development of techniques and technologies, percutaneous endovascular intervention has led to rates of limb salvage comparable to those achieved with bypass surgery, with fewer ...
Won Yu Kang+13 more
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