Polling Station

Poll 01/10/2018 – 31/10/2018

Critical limb-threatening ischemia – CLI Global Society

Patient’s characteristics


Gender: Male

Age: 79 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, chronic kidney disease (GFR: 53 ml/min/1,73m²), NYHA II, Coronary artery disease, previous CABG

Symptoms:  Toe ulceration of the left limb

Previous operations: None

ABI: incompressible, Toe pressure: 32 mmHg

Vascular Imaging – Duplex ultrasound: Isolated tibial vessel disease

Question #1

If ABI is incompressible, which method are you using for the measurement of the foot perfusion?
  • Toe pressure
  • TcPO2
  • The presence of gangrene or ulcer is the main criterion to go for an intervention
  • Ankle systolic pressure
  • Other methods
Question #2

Do you find the WIfI classification useful for your daily CLI practice?
  • Yes
  • No
  • I am not familiar with the WIfI classification
Question #3

Does the CTOP classification influence your access strategy?
  • Yes
  • No
  • I am not familiar with the CTOP classification
Question #4

Which is your primary endovascular treatment strategy in isolated tibial disease?
  • Plain balloon angioplasty
  • Plain balloon angioplasty and drug-coated balloons (DCB)
  • Plain balloon angioplasty and bare metal stent deployment, if necessary
  • Plain angioplasty and drug-eluting stent deployment, if necessary
  • Atherectomy as vessel preparation and DCB
Question #5

Do you believe that BEST-CLI will address all relevant aspects of the best treatment strategy in CLTI patients?
  • Yes
  • No
Question #6

How often do you perform follow up following CLI procedures?
  • Every 3 months
  • Every 6 months
  • Every 12 months
  • Depending on the clinical course of the patient
Question #7

Do you suggest a more aggressive risk factor modification in patients with isolated tibial disease?
  • Yes
  • No
Question #8

Do you have a dedicated interdisciplinary team for CLI patients in your clinic?
  • Yes
  • No