Abstract

Multidisciplinary teams are necessary to treat complex patients with Chronic LimbThreatening Ischemia (CLTI). The need for adequate wound care and control ofcomorbid conditions cannot be accomplished by the vascular specialist alone.Numerous specialties have a role in this group to include surgical podiatrists, orthopedic surgery, plastic and reconstructive surgery endocrinology, and wound care.However, the vascular specialist must drive this team as the patients are usuallyreferred to them and numerous studies have shown a direct correlation between majoramputations and the lack of vascular involvement. Creating these teams is unique ineach community and must consider practice patterns that are relevant in thelocal region. CLTI is a challenging disease to manage, and multidisciplinary teamshave demonstrated an ability to improve outcomes and deliver superior care to thispatient population.

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