The authors present the case of a 64-year-old man with renal insufficiency and CLTI complicated by a nonhealing ulcer who was successfully revascularized using deep venous arterialization with zero iodinated contrast technique. The patient remained wound-free at a 2-year follow-up. 

In this discussion, CLI Global Society Publications Committee members Fadi Saab, MD, Zola N’Dandu, MD, KJ Nagarsheth, MD, and Bret Wiechmann, MD discuss the role the Committee plays in challenging the status quo and changing how patients with CLI are treated.

The definition and treatment of CLTI have been evolving, recognizing the importance of early recognition and aggressive treatment required for those patients. In this article, the authors discuss the historical definitions of CLTI and provide an overview of how the management of patients with CLTI has developed, including surgical and endovascular interventions.

In this study and review, the authors aim to provide a focused evaluation of the influence of SES on the care, prevalence, and treatment of peripheral arterial disease and critical limb-threatening ischemia.

Dr. N'Dandu comments on the article Outcomes of Reintervention in Percutaneous Deep Venous Arterialization by Zaman et al. 

This review focuses on specific noninvasive diagnostic tools that aid in corroborating findings on history and physical examination and provide guidance for the optimal critical limb-threatening management strategy.     

Using this retrospective study, the authors aimed to demonstrate safety and performance of the Terumo Glidesheath Slender for tibiopedal access. 

This case report describes a successful endovascular revascularization technique which, along with a multidisciplinary approach, resulted in limb salvage with only a minor amputation.