Chronic limb threatening ischemia: Difference between revisions
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Chronic limb threatening ischemia (CLTI), also known as critical limb ischemia (CLI), is an advanced stage of peripheral artery disease (PAD). It is defined as ischemic rest pain, arterial insufficiency ulcers, and gangrene. The latter two conditions are jointly referred to as tissue loss, reflecting the development of surface damage to the limb tissue due to the most severe stage of ischemia. Compared to the other manifestation of PAD, intermittent claudication, CLI has a negative prognosis within a year after the initial diagnosis, with 1-year amputation rates of approximately 12% and mortality of 50% at 5 years and 70% at 10 years.[[Category:Diseases and disorders]]<br> | |||
{{Infobox medical condition | |||
| name = Chronic limb-threatening ischemia | |||
| synonyms = Critical limb ischemia | |||
| field = [[Vascular surgery]] | |||
| symptoms = [[Pain]] at rest, [[ulcer]]s, [[gangrene]] | |||
| complications = [[Amputation]], [[infection]] | |||
| onset = Gradual | |||
| duration = Long-term | |||
| causes = [[Atherosclerosis]], [[thromboembolism]] | |||
| risks = [[Smoking]], [[diabetes mellitus]], [[hypertension]], [[hyperlipidemia]] | |||
| diagnosis = [[Ankle-brachial index]], [[Doppler ultrasound]], [[angiography]] | |||
| differential = [[Peripheral artery disease]], [[diabetic foot]], [[venous insufficiency]] | |||
| treatment = [[Revascularization]], [[angioplasty]], [[bypass surgery]], [[medication]] | |||
| medication = [[Antiplatelet drugs]], [[statins]], [[cilostazol]] | |||
| prognosis = Variable, depends on severity and treatment | |||
| frequency = Common in older adults | |||
}} | |||
Chronic limb threatening ischemia (CLTI), also known as critical limb ischemia (CLI), is an advanced stage of peripheral artery disease (PAD). It is defined as ischemic rest pain, arterial insufficiency ulcers, and gangrene. The latter two conditions are jointly referred to as tissue loss, reflecting the development of surface damage to the limb tissue due to the most severe stage of ischemia. Compared to the other manifestation of PAD, intermittent claudication, CLI has a negative prognosis within a year after the initial diagnosis, with 1-year amputation rates of approximately 12% and mortality of 50% at 5 years and 70% at 10 years.[[Category:Diseases and disorders]]<br> | |||
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Latest revision as of 01:34, 4 April 2025
| Chronic limb-threatening ischemia | |
|---|---|
| Synonyms | Critical limb ischemia |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pain at rest, ulcers, gangrene |
| Complications | Amputation, infection |
| Onset | Gradual |
| Duration | Long-term |
| Types | N/A |
| Causes | Atherosclerosis, thromboembolism |
| Risks | Smoking, diabetes mellitus, hypertension, hyperlipidemia |
| Diagnosis | Ankle-brachial index, Doppler ultrasound, angiography |
| Differential diagnosis | Peripheral artery disease, diabetic foot, venous insufficiency |
| Prevention | N/A |
| Treatment | Revascularization, angioplasty, bypass surgery, medication |
| Medication | Antiplatelet drugs, statins, cilostazol |
| Prognosis | Variable, depends on severity and treatment |
| Frequency | Common in older adults |
| Deaths | N/A |
Chronic limb threatening ischemia (CLTI), also known as critical limb ischemia (CLI), is an advanced stage of peripheral artery disease (PAD). It is defined as ischemic rest pain, arterial insufficiency ulcers, and gangrene. The latter two conditions are jointly referred to as tissue loss, reflecting the development of surface damage to the limb tissue due to the most severe stage of ischemia. Compared to the other manifestation of PAD, intermittent claudication, CLI has a negative prognosis within a year after the initial diagnosis, with 1-year amputation rates of approximately 12% and mortality of 50% at 5 years and 70% at 10 years.
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