CLI

The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: Risk stratification based on Wound, Ischemia, and foot Infection (WIfI)

“Critical limb ischemia, first defined in 1982, was intended to delineate a subgroup of patients with a threatened lower extremity primarily because of chronic ischemia. It was the intent of the original authors that patients with diabetes be excluded or analyzed separately. The Fontaine and Rutherford Systems have been used

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CLI

To Diagnose Critical Limb Ischemia, Look to the Toe as Well as the Ankle

“What we’re saying now is that any patient with a lower extremity ulcer needs to have at least a toe pressure taken, regardless of whether their arteries are compressible or noncompressible,” he explains. “Yet despite better sensitivity, even toe pressure is accurate only 60 percent of the time. So we

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