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.

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.