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Professional Technical IVT

critical limb ischemia

Advanced peripheral arterial disease with rest pain, tissue loss, or gangrene.

Full Definition

The most severe manifestation of peripheral arterial disease, characterized by chronic ischemic rest pain, non-healing wounds, or gangrene due to severely compromised arterial perfusion. Critical limb ischemia represents limb-threatening pathology requiring urgent revascularization or amputation consideration. Documentation must include wound characteristics, pain patterns, ankle pressures, and toe pressures when available for proper staging and treatment planning.

Usage

Usage note: Commonly abbreviated as CLI in medical documentation.

In Context

  • "The patient presents with critical limb ischemia manifesting as rest pain and non-healing ulceration." — Clinical presentation
  • "Critical limb ischemia requires expedited revascularization to prevent amputation." — Treatment planning

Also known as

CLI limb-threatening ischemia

Contrasted with

claudication asymptomatic PAD

Don't confuse with

acute limb ischemia chronic venous insufficiency

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