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Critical limb ischaemia: an update for the generalist
Author(s) -
Chikkaveerappa Krishnamurthy,
Smout Jonathan,
Scurr James RH,
Benbow Susan J
Publication year - 2014
Publication title -
practical diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.205
H-Index - 24
eISSN - 2047-2900
pISSN - 2047-2897
DOI - 10.1002/pdi.1825
Subject(s) - medicine , critical limb ischemia , referral , gangrene , intensive care medicine , diabetes mellitus , multidisciplinary approach , foot (prosody) , multidisciplinary team , limb ischemia , diabetic foot , ischemia , physical therapy , arterial disease , surgery , vascular disease , family medicine , nursing , social science , linguistics , philosophy , sociology , endocrinology
Critical limb ischaemia (CLI) occurs in those people with severely impaired peripheral circulation which can threaten the limb if not recognised or managed appropriately. It is more common in those with diabetes and is associated with poorer outcomes. Importantly, CLI is also a marker of associated cardiovascular disease. This paper describes how to recognise CLI, whether with or without tissue loss in the foot (ulceration and/or gangrene), and explains the importance of rapid and appropriate referral to a foot multidisciplinary team as part of an integrated pathway of care. In addition, it reviews the further clinical assessment of the person, and discusses the various more detailed investigations available for CLI. Finally, the treatment options available for the management of the individual with CLI are presented. Copyright © 2014 John Wiley & Sons.