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Relevant bibliographies by topics / Chronic limb-threatening ischaemia

Academic literature on the topic 'Chronic limb-threatening ischaemia'

Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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Journal articles on the topic "Chronic limb-threatening ischaemia"

1

Conte, M. S., and A. Farber. "Revascularization for chronic limb-threatening ischaemia." British Journal of Surgery 102, no. 9 (June 17, 2015): 1007–9. http://dx.doi.org/10.1002/bjs.9848.

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Ricco, Jean-Baptiste, Joseph L. Mills, and Philippe Kolh. "Chronic Limb Threatening Ischaemia: Hits and Misses." European Journal of Vascular and Endovascular Surgery 60, no. 5 (November 2020): 643–44. http://dx.doi.org/10.1016/j.ejvs.2020.08.029.

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Hali, Fouzia, Imane Khrichfa, Kenza Baline, Farida Marnissi, Nisrine Bennani, Oussama Eladaoui, Mohammed Rafai, Mohamed Elfatimi, and Soumia Chiheb. "Chronic limb-threatening ischaemia revealing a periarteritis nodosa." Sang thrombose vaisseaux 32, no. 2 (April 2020): 74–77. http://dx.doi.org/10.1684/stv.2020.1110.

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Twine, Christopher P. "Chronic Limb Threatening Ischaemia in Octogenarians: Intervention or Palliation?" European Journal of Vascular and Endovascular Surgery 60, no. 2 (August 2020): 242. http://dx.doi.org/10.1016/j.ejvs.2020.03.047.

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Omar Mohamed Ozaal, AM, and Thanoj Fernando. "Deep vein thrombosis in an elderly patient with chronic limb-threatening ischaemia presented with limb swelling: The role of diagnostic tools and surgical dilemma." SAGE Open Medical Case Reports 10 (January 2022): 2050313X2210891. http://dx.doi.org/10.1177/2050313x221089121.

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Leg and foot swelling is inherently found in 70% of patients with critical limb-threatening ischaemia due to ischaemia, which does not necessitate any specific intervention. Unilateral leg swelling is a vital sign for the clinical suspicion and diagnosis of deep vein thrombosis and phlegmasia. There is a significant surgical dilemma to delay the diagnosis of deep vein thrombosis or phlegmasia in patients with critical limb-threatening ischaemia when a methodical approach is not followed. We report a case of proximal deep vein thrombosis in an elderly patient with ipsilateral critical limb-threatening ischaemia and discuss the role of diagnostic tools. The role of antiplatelets along with vitamin K antagonists, duration of anticoagulation, iliocaval venous obstruction, compression therapy and inferior vena cava filter is discussed.

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Monaro, Susan, Sandra West, and Janice Gullick. "The body with chronic limb‐threatening ischaemia: A phenomenologically derived understanding." Journal of Clinical Nursing 29, no. 7-8 (February 3, 2020): 1276–89. http://dx.doi.org/10.1111/jocn.15151.

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Lindholt, J. S., I. Cassimjee, T. T. Monareng, and A. T. O. Abdool-Carrim. "New vascular guidelines for treating acute and chronic limb-threatening ischaemia." British Journal of Surgery 107, no. 3 (January 23, 2020): 165–66. http://dx.doi.org/10.1002/bjs.11470.

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DAWSON, I., and J. VANBOCKEL. "Late reoperative surgery after infrainguinal bypass surgery for chronic limb-threatening ischaemia." Cardiovascular Surgery 3 (September 1995): 113. http://dx.doi.org/10.1016/0967-2109(95)94290-d.

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Verwer, Maarten C., Joep G. J. Wijnand, Martin Teraa, Marianne C. Verhaar, and Gert J. de Borst. "Long Term Survival and Limb Salvage in Patients With Non-Revascularisable Chronic Limb Threatening Ischaemia." European Journal of Vascular and Endovascular Surgery 62, no. 2 (August 2021): 225–32. http://dx.doi.org/10.1016/j.ejvs.2021.04.003.

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10

Miyata, T., S. Mii, H. Kumamaru, A. Takahashi, H. Miyata, K. Shigematsu, N. Azuma, et al. "Risk prediction model for early outcomes of revascularization for chronic limb-threatening ischaemia." British Journal of Surgery 108, no. 8 (March 6, 2021): 941–50. http://dx.doi.org/10.1093/bjs/znab036.

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Abstract Background Quantifying the risks and benefits of revascularization for chronic limb-threatening ischaemia (CLTI) is important. The aim of this study was to create a risk prediction model for treatment outcomes 30 days after revascularization in patients with CLTI. Methods Consecutive patients with CLTI who had undergone revascularization between 2013 and 2016 were collected from the JAPAN Critical Limb Ischemia Database (JCLIMB). The cohort was divided into a development and a validation cohort. In the development cohort, multivariable risk models were constructed to predict major amputation and/or death and major adverse limb events using least absolute shrinkage and selection operator logistic regression. This developed model was applied to the validation cohort and its performance was evaluated using c-statistic and calibration plots. Results Some 2906 patients were included in the analysis. The major amputation and/or mortality rate within 30 days of arterial reconstruction was 5.0 per cent (144 of 2906), and strong predictors were abnormal white blood cell count, emergency procedure, congestive heart failure, body temperature of 38°C or above, and hemodialysis. Conversely, moderate, low or no risk in the Geriatric Nutritional Risk Index (GNRI) and ambulatory status were associated with improved results. The c-statistic value was 0.82 with high prediction accuracy. The rate of major adverse limb events was 6.4 per cent (185 of 2906), and strong predictors were abnormal white blood cell count and body temperature of 38°C or above. Moderate, low or no risk in the GNRI, and age greater than 84 years were associated with improved results. The c-statistic value was 0.79, with high prediction accuracy. Conclusion This risk prediction model can help in deciding on the treatment strategy in patients with CLTI and serve as an index for evaluating the quality of each medical facility.

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Book chapters on the topic "Chronic limb-threatening ischaemia"

1

Forsyth, James Michael. "Chronic Limb-Threatening Ischaemia (CLTI)." In How to Be a Safe Consultant Vascular Surgeon from Day One, 68–76. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/b23010-8.

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Brodmann, Marianne. "Lower extremity artery disease." In ESC CardioMed, edited by Victor Aboyans, 2720–33. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198784906.003.0782.

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Most patients with LEAD are asymptomatic. Walking capacity must be assessed to detect clinically masked LEAD. The clinical signs vary broadly. Atypical symptoms are frequent. Even asymptomatic patients with LEAD are at high risk of CV events and must benefit from most CV preventive strategies, especially strict control of risk factors. Antithrombotic therapies are indicated in patients with symptomatic LEAD. There is no proven benefit for their use in asymptomatic patients. Ankle-brachial index is indicated as first-line test for screening and diagnosis of LEAD. DUS is the first imaging method. Data from anatomical imaging tests should always be analysed in conjunction with symptoms and haemodynamic tests prior to treatment decision. In patients with intermittent claudication, CV prevention and exercise training are the cornerstones of management. If daily life activity is severely compromised, first-line revascularization can be proposed, along with exercise therapy. Chronic limb-threatening ischaemia specifies clinical patterns with a vulnerable limb viability related to several factors. The risk is stratified according to the severity of ischaemia, wounds, and infection. Early recognition of tissue loss and/or infection and referral to the vascular specialist is mandatory for limb salvage by a multidisciplinary approach. Revascularization is indicated whenever feasible. Acute limb ischaemia with neurological deficit mandates urgent revascularization.

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Pilar Vela-Orús, Maria, and María Sonia Gaztambide-Sáenz. "Chronic Limb-Threatening Ischemia (CLTI) in Diabetic Patients: Looking at the Big Picture beyond Wound, Ischemia and Foot Infection (WIfI) Classification System." In The Eye and Foot in Diabetes. IntechOpen, 2020. http://dx.doi.org/10.5772/intechopen.91970.

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During the 1990s, most diabetic ulcers were considered neuropathic, but the Eurodiale study showed that more than 50% of these were non-plantar (neuro-ischaemic and ischaemic). According to the International Guidelines, the neuro-ischaemic and ischaemic diabetic foot ulcer (DFU) outcomes are connected to factors related to the wound, leg-associated factors and patients’ comorbidities. We used wound, ischaemia and foot infection (WIfI) classification system; Trans-Atlantic Inter-Society Consensus-II (TASC-II) arterial lesion score; and Kaiser Permanente pyramid (stratification of patients according to their complexity) for assessing these parameters. From February 2011 to June 2012, we collected 124 episodes of neuro-ischaemic and ischaemic active ulcer in 100 patients: 18 required major amputation, 14 of them were in WIfI stage 4 and 4 in WIfI stage 3. Ten patients (over 14 in WIfI stage 4) were classified as TASC-II D. Eight patients (over the same 14) were classified as the higher risk of Kaiser Permanente pyramid. In line with other studies, our data support that the WIfI classification correlates well regarding risk of amputation at 1 year. However, when adding TASC-II and Kaiser Permanente pyramid assessment, the outcome is even more accurate not only for limb salvage but also for patients’ survival.

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