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?

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?

Question #8

Do you have a dedicated interdisciplinary team for CLI patients in your clinic?