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. Author manuscript; available in PMC: 2017 Sep 21.
Published in final edited form as: Circulation. 2016 Nov 13;135(12):e686–e725. doi: 10.1161/CIR.0000000000000470

Recommendations for Revascularization for ALI

COR LOE Recommendations

I C-LD In patients with ALI, the revascularization strategy should be determined by local resources and patient factors (eg, etiology and degree of ischemia).288290

I A Catheter-based thrombolysis is effective for patients with ALI and a salvageable limb.288292

I C-LD Amputation should be performed as the first procedure in patients with a nonsalvageable limb.293,294

I C-LD Patients with ALI should be monitored and treated (eg, fasciotomy) for compartment syndrome after revascularization.293,294

IIa B-NR In patients with ALI with a salvageable limb, percutaneous mechanical thrombectomy can be useful as adjunctive therapy to thrombolysis.295299

IIa C-LD In patients with ALI due to embolism and with a salvageable limb, surgical thromboembolectomy can be effective.300302

IIb C-LD The usefulness of ultrasound-accelerated catheter-based thrombolysis for patients with ALI with a salvageable limb is unknown.303305