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CLINICAL STATEMENTS AND GUIDELINES

June 11, 2024 Circulation. 2024;149:e1313–e1410. DOI: 10.1161/CIR.0000000000001251 e1358

10.1 Team-Based Care for CLTI

Recommendation for Team-Based Care for CLTI Referenced studies that support the recommendation are summarized in the Online Data Supplement. COR LOE Recommendation

1 B-NR 1 In patients with CLTI, a multispecialty care team should

evaluate and provide comprehensive care with goals of complete wound healing, minimizing tissue loss, and preservation of ambulatory status.1,2

Synopsis Wound healing and prevention of amputation are the primary goals of care for patients with CLTI. The complexity of care required for patients with CLTI necessitates expertise in vascular care and revascularization techniques, wound-healing therapies, podiatry, and foot surgery, as well as other areas of expertise (Table 15). Providing multidisciplinary approaches to care in a coordinated, patient-centered manner has led to the development of multispecialty care teams for PAD and specifically for CLTI, in many different forms and structures. Figure 6. Components of Care for CLTI. CLTI indicates chronic limb-threatening ischemia.

Figure 7. Algorithm for Management of CLTI. Colors correspond to Table 3. CLTI indicates chronic limb-threatening ischemia, GDMT, guideline-directed management and therapy; PAD, peripheral artery disease; and QOL, quality of life.

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