In the latest issue of JACC: Cardiovascular Interventions, Raja et al analyzed trends in the institutional use of endovascular revascularization and surgical bypass among 196,070 Medicare beneficiaries aged 66 and older with CLI.

In this video, Dr. Eric Secemsky discusses a recent analysis of Medicare beneficiaries undergoing endovascular treatment for CLTI in both high- and low-volume facilities. 

While strides have been made in the attention that CLTI is afforded, there continue to be challenges regarding a lack of equipoise in the management of CLTI. Addressing the significant disparities in CLTI care, especially in underserved communities, necessitates a multifaceted approach. 

Although the standard of care has evolved, the majority of patients with CLI undergoing primary amputation have never received a diagnostic angiogram, prohibiting the opportunity for revascularization and limb salvage.

Barry Katzen interviews 10 experts on CLTI who each bring their varied specialties, experiences, and opinions to help us understand the BEST-CLI trial results. Study design analysis, generalizability, and real-world application are some of the topics discussed.

An editorial commentary on Ghare et al's "Outcomes among patients with chronic critical limb ischemia with no revascularization option: systematic review and meta-analysis."