Multidisciplinary Management of Chronic Limb Threatening Ischemia

Patients with chronic limb threatening ischemia are at high risk for cardiovascular events, mortality, and adverse limb events. A 62-year-old man with diabetes and peripheral artery disease presented with a new foot ulcer with suspicion of infection. Leveraging evidence-based practices, a multidisciplinary team conducted a prompt and thorough evaluation. This collaborative approach facilitated comprehensive medical therapy and interventions for optimal limb outcomes and secondary prevention. The coexistence of diabetes, infection, and ischemia significantly augments the complexity of chronic limb threatening ischemia management. Addressing each of these components in concert with recent clinical practice guidelines and randomized trials can promote optimal outcomes.