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 →