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Surgery or Endovascular Therapy for Chronic Limb-Threatening Ischemia

Monday, November 14, 2022

Submitted by

Aristotle Protopapas

Source

Source Name: The New England Journal of Medicine

Source URL: https://www.nejm.org/doi/full/10.1056/NEJMoa2207899

Author(s)

Alik Farber, M.D., Matthew T. Menard, M.D., Michael S. Conte, M.D., John A. Kaufman, M.D., Richard J. Powell, M.D., Niteesh K. Choudhry, M.D., Ph.D., Taye H. Hamza, Ph.D., Susan F. Assmann, Ph.D., Mark A. Creager, M.D., Mark J. Cziraky, Pharm.D., Michael D. Dake, M.D., Michael R. Jaff, D.O., Diane Reid, M.D., Flora S. Siami, M.P.H., George Sopko, M.D., Christopher J. White, M.D., Max van Over, M.P.H., Michael B. Strong, M.A., Maria F. Villarreal, M.D., Michelle McKean, M.P.H., Ezana Azene, M.D., Ph.D., Amir Azarbal, M.D., Andrew Barleben, M.D., David K. Chew, M.D., Leonardo C. Clavijo, M.D., Ph.D., Yvan Douville, M.D., Laura Findeiss, M.D., Nitin Garg, M.B., B.S., M.P.H., Warren Gasper, M.D., Kristina A. Giles, M.D., Philip P. Goodney, M.D., Beau M. Hawkins, M.D., Christine R. Herman, M.D., Jeffrey A. Kalish, M.D., Matthew C. Koopmann, M.D., Igor A. Laskowski, M.D., Ph.D., Carlos Mena-Hurtado, M.D., Raghu Motaganahalli, M.D., Vincent L. Rowe, M.D., Andres Schanzer, M.D., Peter A. Schneider, M.D., Jeffrey J. Siracuse, M.D., Maarit Venermo, M.D., Ph.D., Kenneth Rosenfield, M.D.

Quite possibly, this manuscript is projected to have the highest impact on patient care and industry for the immediate future. It provides an unusually clear narrative, and findings of a large international randomized clinical trial assert that a good quality venous conduit renders bypass superior to endovascular treatment in infrainguinal critical limb-threatening ischemia.