The optimal way to revascularize the arteries of the lower extremities in chronic limb – threatening ischemia

Authors: Simakova I. A., Arakelyan V.S., Papitashvili V.G.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

UDC: 616.137-005.4-089.843-031
DOI: https://doi.org/10.24022/1810- 0694-2024-25-4-279-287

Cite as: Simakova I. A., Arakelyan V.S., Papitashvili V.G. The optimal way to revascularize the arteries of the lower extremities in chronic limb – threatening ischemia. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2024; 25 (4): 279–287 (in Russ.). DOI: 10.24022/1810-0694-2024-25-4-279-287

Received / Accepted: 12.08.2024 / 28.08.2024

Keywords: chronic limb-threatening ischemia peripheral arterial disease lower-limb revascularization lower-limb revascularization endovascular treatment

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Abstract

The number of patients with chronic limb-threatening ischemia (CLTI) has been increasing over the years. They are a high-risk group, especially in terms of serious amputations and mortality. Despite numerous recommendations for their management, this remains a difficult task. Decision-making between surgical and endovascular procedures should be clearly established, but there is still no consensus on the best treatment strategy. The purpose of this manuscript is to offer an overview of current management of patients with CLTI, with an emphasis on the concept that evidence-based revascularization can help surgeons provide more appropriate treatment by avoiding erroneous procedures as well as procedures with too high a risk.

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About the authors

Irina A. Simakova, Postgraduate; ORCID
Valeriy S. Arakelyan, Dr. Med. Sci., Professor, Head of Department; ORCID
Vasil G. Papitashvili, Cand. Med. Sci., Leading Researcher, Head of Department; ORCID

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Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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