In patients with chronic limb-threatening ischemia, surgical revascularization is better than endovascular therapy (BEST-CLI)

Clinical Question

In patients with chronic limb-threatening ischemia, is surgical revascularization superior to endovascular therapy?

Bottom line

In patients with chronic limb-threatening ischemia, outcomes are better for surgery than for endovascular procedures in the subgroup with a single greater saphenous vein segment suitable for bypass. 1b

Study design: Randomized controlled trial (nonblinded)

Funding: Government

Setting: Outpatient (specialty)

Reviewer

Mark H. Ebell, MD, MS
Professor
University of Georgia
Athens, GA


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Comments

Arup Kumar Dhara

Impact assessment

Very good

Anonymous

Open revascularization better than endovascular repair.

Good to know.