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Symptoms to Diagnosis

A man with chronic limb-threatening ischemia and no revascularization options: Can we save his foot?

Fachreza Aryo Damara, MD, Khaled I. Alnahhal, MD, Hassan Dehaini, MD, Georgeanne Botek, DPM, Ammar A. Saati, MD, Pulkit Chaudhury, MD and Lee Kirksey, MD, MBA
Cleveland Clinic Journal of Medicine November 2024, 91 (11) 683-692; DOI: https://doi.org/10.3949/ccjm.91a.23077
Fachreza Aryo Damara
Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH
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Khaled I. Alnahhal
Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH
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Hassan Dehaini
Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH
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Georgeanne Botek
Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Ammar A. Saati
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Pulkit Chaudhury
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Lee Kirksey
Vice Chairman, Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH; Clinical Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Article Information

vol. 91 no. 11 683-692
DOI 
https://doi.org/10.3949/ccjm.91a.23077
PubMed 
39486848

Published By 
Cleveland Clinic Journal of Medicine
Print ISSN 
0891-1150
Online ISSN 
1939-2869
History 
  • Published online November 1, 2024.

Copyright & Usage 
Copyright © 2024 The Cleveland Clinic Foundation. All Rights Reserved.

Author Information

  1. Fachreza Aryo Damara, MD
  1. Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH
  1. Khaled I. Alnahhal, MD
  1. Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH
  1. Hassan Dehaini, MD
  1. Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH
  1. Georgeanne Botek, DPM
  1. Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Ammar A. Saati, MD
  1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Pulkit Chaudhury, MD
  1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Lee Kirksey, MD, MBA⇑
  1. Vice Chairman, Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH; Clinical Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Address:
    Lee Kirksey, MD, MBA, Vice Chairman, Department of Vascular Surgery, F30, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195; kirksel{at}ccf.org
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Cleveland Clinic Journal of Medicine: 91 (11)
Cleveland Clinic Journal of Medicine
Vol. 91, Issue 11
1 Nov 2024
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A man with chronic limb-threatening ischemia and no revascularization options: Can we save his foot?
Fachreza Aryo Damara, Khaled I. Alnahhal, Hassan Dehaini, Georgeanne Botek, Ammar A. Saati, Pulkit Chaudhury, Lee Kirksey
Cleveland Clinic Journal of Medicine Nov 2024, 91 (11) 683-692; DOI: 10.3949/ccjm.91a.23077

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A man with chronic limb-threatening ischemia and no revascularization options: Can we save his foot?
Fachreza Aryo Damara, Khaled I. Alnahhal, Hassan Dehaini, Georgeanne Botek, Ammar A. Saati, Pulkit Chaudhury, Lee Kirksey
Cleveland Clinic Journal of Medicine Nov 2024, 91 (11) 683-692; DOI: 10.3949/ccjm.91a.23077
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Jump to section

  • Article
    • INITIAL EVALUATION
    • PERIPHERAL ARTERY DISEASE IS LINKED TO CARDIOVASCULAR DISEASE
    • OTHER RISK FACTORS FOR PERIPHERAL ARTERY DISEASE
    • HOW SHOULD WE MANAGE HIS LIMB ISCHEMIA?
    • THE PATIENT WANTS TO KEEP HIS FOOT
    • DEEP VENOUS ARTERIALIZATION: AN OPTION WHEN THERE IS NO OPTION
    • CASE CONTINUED: SURGERY AND POSTOPERATIVE COURSE
    • ANTITHROMBOTIC REGIMENS
    • CASE CONCLUDED
    • TAKE-HOME POINTS
    • DISCLOSURES
    • REFERENCES
  • Figures & Data
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  • PDF

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