Confronting Treatment Disparities in Chronic Limb-Threatening Ischemia

HomeCirculation: Cardiovascular InterventionsVol. 17, No. 1Confronting Treatment Disparities in Chronic Limb-Threatening Ischemia No AccessEditorialRequest AccessFull TextAboutView Full TextView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toNo AccessEditorialRequest AccessFull TextConfronting Treatment Disparities in Chronic Limb-Threatening Ischemia Neel M. Butala and Binita Shah Neel M. ButalaNeel M. Butala https://orcid.org/0000-0001-6937-4041 Rocky Mountain Regional VA Medical Center, Aurora, CO (N.M.B.). University of Colorado School of Medicine, Aurora (N.M.B.). and Binita ShahBinita Shah Correspondence to: Binita Shah, MD, MS, 423 E 23rd St, 12023-W, New York, NY 10010. Email E-mail Address: [email protected] https://orcid.org/0000-0001-8872-8001 Veterans Affairs New York Harbor Health Care System (B.S.). New York University School of Medicine (B.S.). Originally published28 Dec 2023https://doi.org/10.1161/CIRCINTERVENTIONS.123.013693Circulation: Cardiovascular Interventions. 2024;17This article is a commentary on the followingImpact of Intensity of Vascular Care Preceding Major Amputation Among Patients With Chronic Limb-Threatening Ischemia"Confronting Treatment Disparities in Chronic Limb-Threatening Ischemia." Circulation: Cardiovascular Interventions, 17(1), pp. e013693FootnotesFor Sources of Funding and Disclosures, see page 74.The opinions expressed in this article are not necessarily those of the editors or of the American Heart Association.Correspondence to: Binita Shah, MD, MS, 423 E 23rd St, 12023-W, New York, NY 10010. Email binita.shah@nyumc.orgREFERENCES1. Abu Dabrh AM, Steffen MW, Undavalli C, Asi N, Wang Z, Elamin MB, Conte MS, Murad MH. The natural history of untreated severe or critical limb ischemia.J Vasc Surg. 2015; 62:1642–51.e3. doi: 10.1016/j.jvs.2015.07.065CrossrefMedlineGoogle Scholar2. Mustapha JA, Katzen BT, Neville RF, Lookstein RA, Zeller T, Miller LE, Jaff MR. Disease burden and clinical outcomes following initial diagnosis of critical limb ischemia in the medicare population.JACC Cardiovasc Interv. 2018; 11:1011–1012. doi: 10.1016/j.jcin.2017.12.012CrossrefMedlineGoogle Scholar3. Lefebvre KM, Chevan J. The persistence of gender and racial disparities in vascular lower extremity amputation: an examination of HCUP-NIS data (2002-2011).Vasc Med. 2015; 20:51–59. doi: 10.1177/1358863X14565373CrossrefMedlineGoogle Scholar4. Conte MS, Bradbury AW, Kolh P, White JV, Dick F, Fitridge R, Mills JL, Ricco JB, Suresh KR, Murad MH; GVG Writing Group. Global vascular guidelines on the management of chronic limb-threatening ischemia.J Vasc Surg. 2019; 69:3S–125S.e40. doi: 10.1016/j.jvs.2019.02.016CrossrefMedlineGoogle Scholar5. Gerhard-Herman MD, Gornik HL, Barrett C, Barshes NR, Corriere MA, Drachman DE, Fleisher LA, Fowkes FG, Hamburg NM, Kinlay S, et al. 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: a report of the American college of cardiology/American heart association task force on clinical practice guidelines.Circulation. 2017; 135:e726–e779. doi: 10.1161/CIR.0000000000000471LinkGoogle Scholar6. Goodney PP, Holman K, Henke PK, Travis LL, Dimick JB, Stukel TA, Fisher ES, Birkmeyer JD. Regional intensity of vascular care and lower extremity amputation rates.J Vasc Surg. 2013; 57:1471–1479, 1480.e1471-1473; discussion 1479-1480. doi: 10.1016/j.jvs.2012.11.068CrossrefMedlineGoogle Scholar7. Secemsky ES, Kirksey L, Quiroga E, King C, Martinson M, Hasegawa J, West N, Wadhera R. The impact of intensity of vascular care preceding major amputation among patients with chronic limb-threatening ischemia.Circ Cardiovasc Interv. 2024; 17:e012798. doi: 10.1161/CIRCINTERVENTIONS.122.012798.LinkGoogle Scholar8. Mustapha JA, Katzen BT, Neville RF, Lookstein RA, Zeller T, Miller LE, Jaff MR. Determinants of long-term outcomes and costs in the management of critical limb ischemia: a population-based cohort study.J Am Heart Assoc. 2018; 7:e009724. doi: 10.1161/JAHA.118.009724LinkGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsRelated articlesImpact of Intensity of Vascular Care Preceding Major Amputation Among Patients With Chronic Limb-Threatening IschemiaEric A. Secemsky, et al. Circulation: Cardiovascular Interventions. 2024;17 January 2024Vol 17, Issue 1 Advertisement Article InformationMetrics © 2023 American Heart Association, Inc.https://doi.org/10.1161/CIRCINTERVENTIONS.123.013693PMID: 38152882 Originally publishedDecember 28, 2023 KeywordsEditorialschronic limb-threatening ischemiaoutcomesperipheral artery diseaseprognosisthreatening ischemiaPDF download Advertisement SubjectsPeripheral Vascular DiseaseVascular Disease