Vascular Intervention for the Diabetic Foot.

This article details an evidence-based framework for decision-making and management of patients with chronic limb threatening ischemia (CLTI) and diabetes mellitus requiring vascular intervention in the context of a multidisciplinary limb salvage team. Emphasis is placed on utilization of modern clinical limb staging systems such as the Wound, Ischemia, and Foot Infection classification to stratify limb risk and follow evidence-based management strategies. For patients presenting with a first-time manifestation of CLTI who have suitable single segment great saphenous vein and are of acceptable surgical risk, strong consideration should be given to a bypass-first approach to vascular intervention.