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Critical Limb Ischemi A Case Study

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Critical limb ischemia (CLI) is serious form of peripheral arterial disease (PAD). The incidence of CLI increase with age and atherosclerotic risk factors such as, diabetes, cigarette smoking, obesity or hypertension .The prevalence of CLI is approximately 12% in the adult population especially men compared to women (Davies 2012).The clinical presentation of this disease range from intermittent claudication , rest pain, ischemic ulcers, or gangrene. CLI could lead to severe disability such as amputation or even death (Rosales, Mathewkutty & Gnaim 2008).
The management of CLI require collaborative efforts in order to provide long-term outcomes. The primary goal of infrapopliteal endovascular therapy is to maintain vessel patency and restore the blood flow of lower extremity in order to reduce the risk of complications related to limb loss
Tibial bypass or amputation are the two major surgical choices in patients with CLI. However, these procedures associated with complication, including myocardial infraction, wound infection, tissue lose, graft occlusion and bleeding (Rosales, Mathewkutty & Gnaim 2008) …show more content…
The development of minimally invasive endovascular techniques has enabled the restoration of blood flow to occluded infrapopliteal artery decreasing the need for surgical interventions. Endovascular techniques are associated with shorter hospital stays and prevention of limb amputation compared to surgical interventions. Unfortunately, the duration of vascular patency after endovascular therapy is limited by restenosis (Rosales, Mathewkutty & Gnaim

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