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Abstract
Critical limb ischemia reporesents the most severe clinical manifestation of peripheral arterial disease, defined as the presence of ischemic rest pain, ischemic lesions or gangrene attributable to objectively proven arterial occlusive disease. Typically the atherosclerotic disease process is diffuse, in the majority of patients involving the below-the-knee arterial tree. The cornerstone of therapy is vascular reconstruction and limb salvage. Revascularization should be attempted without delay in all patients presenting with critical limb ischemia, whenever technically possible and if clinical status is not hopelessly non-ambulatory. Therefore endovascular treatment will become the gold standard for the full range of patients including below-the-knee, the need for classically trained surgeons will shrink.
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References
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