Critical limb ischemia - Diagnosis and treatment methods

Critical limb ischemia - Diagnosis and treatment methods

Critical limb ischemia is an acute stage of peripheral arterial disease.

In this diagnosis, the normal, physiological process of blood flow/circulation in the limbs is significantly blocked.

The doctor will suspect critical limb ischemia based on the symptoms. A computed tomography (CT) scan, magnetic resonance imaging (MRI), angiogram, or ultrasound may be ordered.

The goal of all these studies is to determine:

  • The ability of blood to circulate in the limbs;
  • How quickly the wound is healing or why the healing process is delayed;
  • The degree of narrowing or blockage of the arteries.

Critical limb ischemia requires urgent medical intervention.

Treatment options include:

  • Anti-clotting, blood pressure-lowering, and cholesterol-lowering medications;
  • Endovascular treatment to widen blocked arteries or remove plaque;
  • Surgery.

If these methods fail, amputation of a finger, hand, or foot may be necessary. Statistics show that one in five patients with critical limb ischemia will require amputation. A history of diabetes significantly increases the risk of amputation.

 

Source:

https://my.clevelandclinic.org/health/diseases/23120-critical-limb-ischemia