Chronic limb-threatening ischemia (CLTI) is a clinical syndrome associated with increased mortality, risk of amputation, and impaired quality of life. To treat patients with CLTI appropriately, a multidisciplinary approach should be adopted. Holistic nursing, in particular, is important in the care and healing of foot wounds caused by ischemia and foot infection in these patients. In this setting, the role of specific nurses is expanded significantly to allow them to perform advanced practice under comprehensive instructions for timely wound assessment and foot care in collaboration with the nursing and medical teams. Daily practice conducted by a specific nurse, including educating and motivating patients, is subjective and should consider the patient’s own appraisal. Their perspectives contribute to multidisciplinary cooperation in CLTI treatment and help to develop ideal foot management to facilitate a smooth transition from inpatient to home care. This review provides practical content on the treatment of patients with CLTI.
The criteria of the second intervention for the superior mesenteric artery dissection (SMAD) after conservative treatment generally include persistent symptoms, bowel ischemia, diameter enlargement, progression of the dissection and so on. However, the criteria have not been elucidated. Among them, our criteria include only bowel ischemia and diameter enlargement. We reviewed the short- and long-term outcomes of the 26 patients of SMAD after conservative treatment. There were no patients who had a secondary intervention, and the prognosis was favorable.