Cardiovascular and interventional radiology
September 29, 2026 · via Europe PMC
CIRSE Standards of Practice for the Endovascular Management of Acute Lower Limb Ischaemia.
Hamady M, Wolf F, Al-Rekabi A, Katsanos K, Perkov D, Ruffino MA.
AI summary — for doctors, generated from the abstract only
CIRSE's standards document supports endovascular treatment as an established option for acute lower limb ischaemia in suitable patients.
What was studied
A consensus standards document by a six-member writing group based on a pragmatic PubMed search (2013-2025) and the 2011 CIRSE document.
Key findings
- Endovascular techniques achieve high technical success that correlates with better clinical outcomes
- Outcomes are described as comparable to open surgery in contemporary series
- Regular follow-up surveillance is recommended
Clinical relevance
Acute limb ischaemia is an emergency, and endovascular options expand the available treatment.
Who should care
Limitations
Consensus-based recommendations from a pragmatic, non-systematic literature search.
Consider endovascular revascularization in appropriately selected patients and arrange follow-up surveillance.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Background
Acute lower limb ischaemia is a medical emergency that requires immediate diagnosis and management to avoid catastrophic consequences. As an alternative to open surgical procedures, endovascular intervention is a minimally invasive approach that can be effective in appropriately selected patients, with outcomes comparable to open surgery in contemporary series. The ongoing improvement and expansion of techniques and tools continue to refine clinical outcomes.
Purpose
CIRSE Standards of Practice documents recommend a reasonable approach to, and best practices for, performing procedures, in this case, endovascular procedures to restore flow in acute lower limb ischaemia.
Methods
The writing group, established by the CIRSE Standards of Practice Committee on the recommendation of the Endovascular Subcommittee of CIRSE, consisted of five clinicians with internationally recognised expertise in acute lower limb ischaemia and one research assistant. The writing group reviewed the existing literature and conducted a pragmatic evidence search utilising PubMed to identify publications in English pertaining to human subjects from 2013 to 2025. The final recommendations were developed through consensus, incorporating relevant and valid older primary sources, including the 2011 CIRSE Standards of Practice document.
Results
Endovascular techniques are established in the treatment of acute lower limb ischaemia and are associated with high technical success rates, which correlate with improved clinical outcomes. Regular follow-up surveillance is recommended to achieve good long-term results.
DOI
10.1007/s00270-026-04622-0
PMID
42811132
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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