Isquemia crónica que amenaza las extremidades inferiores: diagnóstico y tratamiento. Revisión bibliográfica enfocada al primer nivel de atención médica

Abstract

Chronic limb-threatening ischemia (CLTI) is the leading cause of non-traumatic major amputations and associated 5-year mortality. Although it is a known entity, forming part of the spectrum of manifestations of peripheral arterial disease, it is necessary that this disease be detected early from the first level of medical care in order to reduce the incidence of related complications. This review aims to provide an updated summary on the subject of CLTI, its complexity, which covers its epidemiology, the evaluation of cardiovascular risk factors, diagnosis and treatment together with prognostic stratification, and finally, possible strategies in its therapy.