Contemporary critical limb ischemia: Asian multidisciplinary consensus statement on the collaboration between endovascular therapy and wound care

Osami Kawarada, Kan Zen, Koji Hozawa, Shinobu Ayabe, Hsuan Li Huang, Donghoon Choi, Su Hong Kim, Jiyoun Kim, Taku Kato, Yoshinori Tsubakimoto, Tasuya Nakama, Shigeo Ichihashi, Naoki Fujimura, Akihiro Higashimori, Masahiko Fujihara, Tomoyasu Sato, Bryan Ping Yen Yan, Skyi Yin Chun Pang, Chumpol Wongwanit, Yew Pung LeongBenjamin Chua, Robbie K. George, Yoshiaki Yokoi, Hisashi Motomura, Hideaki Obara

Research output: Contribution to journalReview article

11 Citations (Scopus)

Abstract

The burden of peripheral artery disease (PAD) and diabetes in Asia is projected to increase. Asia also has the highest incidence and prevalence of end-stage renal disease (ESRD) in the world. Therefore, most Asian patients with PAD might have diabetic PAD or ESRD-related PAD. Given these pandemic conditions, critical limb ischemia (CLI) with diabetes or ESRD, the most advanced and challenging subset of PAD, is an emerging public health issue in Asian countries. Given that diabetic and ESRD-related CLI have complex pathophysiology that involve arterial insufficiency, bacterial infection, neuropathy, and foot deformity, a coordinated approach that involves endovascular therapy and wound care is vital. Recently, there is increasing interaction among cardiologists, vascular surgeons, radiologists, orthopedic surgeons, and plastic surgeons beyond specialty and country boundaries in Asia. This article is intended to share practical Asian multidisciplinary consensus statement on the collaboration between endovascular therapy and wound care for CLI.

Original languageEnglish
Pages (from-to)297-312
Number of pages16
JournalCardiovascular Intervention and Therapeutics
Volume33
Issue number4
DOIs
Publication statusPublished - 2018 Oct 1

Keywords

  • Bacterial infection
  • Collaboration
  • Foot deformity
  • Interdisciplinary
  • Ischemia
  • Peripheral artery disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Kawarada, O., Zen, K., Hozawa, K., Ayabe, S., Huang, H. L., Choi, D., Kim, S. H., Kim, J., Kato, T., Tsubakimoto, Y., Nakama, T., Ichihashi, S., Fujimura, N., Higashimori, A., Fujihara, M., Sato, T., Yan, B. P. Y., Pang, S. Y. C., Wongwanit, C., ... Obara, H. (2018). Contemporary critical limb ischemia: Asian multidisciplinary consensus statement on the collaboration between endovascular therapy and wound care. Cardiovascular Intervention and Therapeutics, 33(4), 297-312. https://doi.org/10.1007/s12928-018-0523-z