|
| 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).288–290
|
|
| I |
A |
Catheter-based thrombolysis is effective for patients with ALI and a salvageable limb.288–292
|
|
| 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.295–299
|
|
| IIa |
C-LD |
In patients with ALI due to embolism and with a salvageable limb, surgical thromboembolectomy can be effective.300–302
|
|
| IIb |
C-LD |
The usefulness of ultrasound-accelerated catheter-based thrombolysis for patients with ALI with a salvageable limb is unknown.303–305
|
|