TY - JOUR
T1 - ACR Appropriateness Criteria® Sudden Onset of Cold, Painful Leg
T2 - 2023 Update
AU - Expert Panel on Vascular Imaging:
AU - Browne, William F.
AU - Sung, Jeffrey
AU - Majdalany, Bill S.
AU - Khaja, Minhaj S.
AU - Calligaro, Keith
AU - Contrella, Benjamin N.
AU - Ferencik, Maros
AU - Gunn, Andrew J.
AU - Kapoor, Baljendra S.
AU - Keefe, Nicole A.
AU - Kokabi, Nima
AU - Kramer, Christopher M.
AU - Kwun, Richard
AU - Shamoun, Fadi
AU - Sharma, Aditya M.
AU - Steenburg, Scott D.
AU - Trout, Andrew T.
AU - Vijay, Kanupriya
AU - Wang, David S.
AU - Steigner, Michael L.
N1 - Publisher Copyright:
© 2023 American College of Radiology
PY - 2023/11
Y1 - 2023/11
N2 - Acute onset of a cold, painful leg, also known as acute limb ischemia, describes the sudden loss of perfusion to the lower extremity and carries significant risk of morbidity and mortality. Acute limb ischemia requires rapid identification and the management of suspected vascular compromise and is inherently driven by clinical considerations. The objectives of initial imaging include confirmation of diagnosis, identifying the location and extent of vascular occlusion, and preprocedural/presurgical planning. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
AB - Acute onset of a cold, painful leg, also known as acute limb ischemia, describes the sudden loss of perfusion to the lower extremity and carries significant risk of morbidity and mortality. Acute limb ischemia requires rapid identification and the management of suspected vascular compromise and is inherently driven by clinical considerations. The objectives of initial imaging include confirmation of diagnosis, identifying the location and extent of vascular occlusion, and preprocedural/presurgical planning. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
KW - AUC
KW - Acute limb ischemia
KW - Appropriateness Criteria
KW - CTA
KW - MRA
KW - angiography
KW - appropriate use criteria
KW - critical limb ischemia
KW - peripheral artery disease
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U2 - 10.1016/j.jacr.2023.08.012
DO - 10.1016/j.jacr.2023.08.012
M3 - Article
C2 - 38040470
AN - SCOPUS:85178379083
SN - 1546-1440
VL - 20
SP - S565-S573
JO - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
IS - 11
ER -