Reduce Acute Limb Ischemia Risk After Lower Extremity Revascularization

A 66-year-old man with a history of hypertension, gastroesophageal reflux disease, hyperlipidemia, and current smoking presents with a worsening left leg pain that started 6 months earlier. Initially, the pain was associated with walking and resolved with rest; in the previous month, the pain has also been present at rest. He is diagnosed with chronic limb-threatening ischemia (CLTI) and evaluated for a revascularization intervention.

Upon evaluation, a suitable great saphenous vein for conduit is not found. He subsequently undergoes an endovascular lower extremity revascularization (LER) that is completed with no complications. Clopidogrel is added to his current medical treatment, which includes a statin, aspirin, proton pump inhibitor, and angiotensin-receptor blocker.

Which one of the following management steps will lower this patient's risk of subsequent severe acute limb ischemia (ALI)?

Show Answer