Complex Peripheral Vascular Interventions-Searching for the Holy Grail: What's the Right Amount of Perfusion for the Ischemic Limb? Dr. Lun Li and Discussion: What Is the Most Exciting Innovation in BTK Intervention That is on the Horizon?

Searching for the Holy Grail: What's the Right Amount of Perfusion for the Ischemic Limb? Dr. Lun Li and Discussion: What Is the Most Exciting Innovation in BTK Intervention That is on the Horizon?

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Video Transcription

Video Summary

The discussion centers on various techniques and challenges in treating critical limb-threatening ischemia (CLTI), focusing on revascularization and wound healing. The consensus is that there is no singular answer for optimal limb perfusion, given the variations in patient comorbidities, wound characteristics, and perfusion assessment tests. Techniques such as ABI, TBI, and other advanced imaging tools like laser speckle and infrared thermography were mentioned as evolving methods, but they face limitations in accessibility and accuracy. The participants deliberated on treatment strategies, including conventional angioplasty and newer options like drug-coated balloons (DCBs) and deep venous arterialization (DVA), while acknowledging that a small percentage benefit from newer methods. A notable point was the varied adoption of DCBs across regions due to differing access and cost issues. The pressing need for substantial clinical trial data to solidify the effectiveness of newer technologies like atherectomy was emphasized, addressing both skepticism and support for these innovations.

Keywords

critical limb-threatening ischemia

revascularization

wound healing

drug-coated balloons

deep venous arterialization

atherectomy

calcium

laser

orbital

plaque