On diabetic foot, wound healing, amputation prevention, and the merger of consumer tech with medical devices
This from our UK toe and flowmigos. It tends to add up WIfI, which is not entirely the way it was intended to work, but the simplicity and completeness of this form is pretty great. Enjoy.
Accuracy of the pedal acceleration time to diagnose limb ischemia in patients with and without diabetes using the WIfI classification Excellent work from Castro-Santos and coworkers. Accuracy of the pedal acceleration time to diagnose limb ischemia in patients with and without diabetes using the WIfI classification Introduction: Evaluation of limb hemodynamics using the ankle–brachial index... Continue Reading →
Presenting limb severity is associated with long-term outcomes after infrainguinal revascularization for chronic limb-threatening ischemia This from our toe and flowmigos at UCSF. Type of Research: Single-center retrospective cohort study Key Findings: Among 413 patients undergoing infrainguinal revascularization for CLTI, long-term risk of major amputation was associated with presenting WIfI stage (p<0.001). Autogenous vein bypass provided... Continue Reading →
Profs. DG Armstrong (USC) Noboyushi Azuma (Asahikawa University), Sanjay Misra (Mayo) and Elina Quiroga (University of Washington) joined chairs Profs. Michael Conte (UCSF), John White (Advocate) and Joseph Mills (Baylor College of Medicine) to review implementation of Global Vascular Guidelines in limb preservation. David G. Armstrong, Professor of Surgery and Director of the Southwestern Academic... Continue Reading →
This from our team led by Virginie Blanchette. A proposed method of re-assessment and notation of re-assessment for patients with active disease and in remission. Nearly a decade ago, the Society for Vascular Surgery (SVS)'s wound, ischemia, and foot Infection (WIfI) classification was first developed to help assess overall limb threat. However, managing conditions such... Continue Reading →
A systematic review on key instruments that can be used preoperatively to predict postoperative morbidity from our Welsh colleagues. Perhaps something like this, combined with WIFI+Function could be useful in preoperative prediction. Objective The decision to undertake a major lower limb amputation can be complex. This review evaluates the performance of risk prediction tools in... Continue Reading →
This manuscript from our combined teams continues the discussion on the importance of an initial assessment of limb threat followed by a functional one.
The publication of the Global Vascular Guidelines in 2019 provide evidence-based, best practice recommendations on the diagnosis and treatment of chronic limb-threatening ischemia (CLTI). Certainly, the multidisciplinary team, and more specifically one with collaborating podiatrists and vascular specialists, has been shown to be highly effective at improving the outcomes of limbs at risk for amputation.... Continue Reading →
