Critical Limb Ischemia pp 15-22 | Cite as
Classification Systems for Acute and Chronic Limb Ischemia
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Abstract
The treatment for peripheral artery disease include medical, endovascular, and surgical. When deciding treatment options, the risk of the intervention should be weighed against the benefit the patient will gain. Grading the lesions and symptoms of peripheral artery disease is very important in deciding the treatment strategy and assessing clinical outcome. In this chapter, we will discuss different classification systems for acute and chronic limb ischemia.
Keywords
Peripheral artery disease Acute and chronic limb ischemia JENALI classification Angiosomes Rutherford Fontaine TASC II classification PARC classification and ORC classificationReferences
- 1.Mustapha JA, Saab F, Diaz-Sandoval L, et al. Comparison between angiographic and arterial duplex ultrasound assessment of tibial arteries in patients with peripheral arterial disease: on behalf of the joint endovascular and non-invasive assessment of LImb perfusion (JENALI) group. J Invasive Cardiol. 2013;25:606–11.PubMedGoogle Scholar
- 2.Attinger CE, Evans KK, Bulan E, Blume P, Cooper P. Angiosomes of the foot and ankle and clinical implications for limb salvage: reconstruction, incisions, and revascularization. Plast Reconstr Surg. 2006;117:261S–93S.CrossRefPubMedGoogle Scholar
- 3.Taylor GI, Pan WR. Angiosomes of the leg: anatomic study and clinical implications. Plast Reconstr Surg. 1998;102:599–616. discussion 617-8.CrossRefPubMedGoogle Scholar
- 4.Shishehbor MH. Acute and critical limb ischemia: when time is limb. Cleve Clin J Med. 2014;81:209–16.CrossRefPubMedGoogle Scholar
- 5.Management of peripheral arterial disease (PAD). TransAtlantic inter-society consensus (TASC). Eur J Vasc Endovasc Surg. 2000;19 Suppl A:Si–xxviii, S1–250.Google Scholar
- 6.Norgren L, Hiatt WR, Dormandy JA, et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg. 2007;45(Suppl S):S5–67.CrossRefPubMedGoogle Scholar
- 7.Rutherford RB, Baker JD, Ernst C, et al. Recommended standards for reports dealing with lower extremity ischemia: revised version. J Vasc Surg. 1997;26:517–38.CrossRefPubMedGoogle Scholar
- 8.Fontaine R, Kim M, Kieny R. Surgical treatment of peripheral circulation disorders. Helv Chir Acta. 1954;21:499–533.PubMedGoogle Scholar
- 9.Mills JL Sr., Conte MS, Armstrong DG, et al. The society for vascular surgery lower extremity threatened limb classification system: risk stratification based on wound, ischemia, and foot infection (WIfI). J Vasc Surg. 2014;59:220-34.e1-2.Google Scholar
- 10.Patel MR, Conte MS, Cutlip DE, et al. Evaluation and treatment of patients with lower extremity peripheral artery disease: consensus definitions from peripheral academic research consortium (PARC). J Am Coll Cardiol. 2015;65:931–41.CrossRefPubMedPubMedCentralGoogle Scholar
- 11.Dieter Jr RA, Kuzycz GK, Dieter III RA, Dieter RS. The ORC patient/tumor classification – a new approach: a new challenge with special consideration for the lung. J Cancer Ther. 2011;2(2):172–5.Google Scholar
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