Endovascular Therapy First for All CLI?

The question is can we do better in some patients with open bypass first compared to endovascular therapy first? The answer is almost certainly yes. We need to sort out what works best in which situations. Until centers and specialists develop and adhere to a unified classification system and reporting standards, we will never learn the answer. Let’s get started; our patients deserve better.

Dr. Joseph L. Mills, Sr. is the newest associate medical editor for Vascular Specialist. He has been professor and chief of Vascular Surgery at the University of Arizona College of Medicine in Tucson since 1994. He is the Co-Director of the Southern Arizona Limb Salvage Alliance (SALSA). He has authored over 250 peer-reviewed journal articles and book chapters. Dr. Mills is co-editor of Rutherford\'s Vascular Surgery (7th and 8th ed.) and "Comprehensive Vascular and Endovascular Surgery," and editor "Management of Chronic Lower Limb Ischemia." He is also the Vascular Surgery Section Editor for UpToDate. He has been the principal investigator for over 40 clinical trials. He is Past-President of the Peripheral Vascular Surgery Society and also served as Treasurer of the SVS, Chair of the SVS Distinguished Fellows Council, and Secretary-Treasurer of the Western Vascular Society. A Diplomate of the American Board of Surgery, Dr. Mills is a director of the ABS, and the current Chair of the Vascular Surgery Board (2010-2013). He is also Past-President of the Association of Program Directors in Vascular Surgery (APDVS) and current President of the Rocky Mountain Vascular Society and of the Western Vascular Society.