The Rutherford classification describes the progression of ischemic injury in the lower extremity of a patient with peripheral arterial disease (PAD).
Patient selection: abnormal hemodynamics
Parameters
(1) claudication
(2) ischemic pain at rest
(3) tissue loss
|
Claudication |
Ischemic Pain at Rest |
Tissue Loss |
Category |
|
none |
absent |
none |
0 |
|
mild |
absent |
none |
1 |
|
moderate |
absent |
none |
2 |
|
severe |
absent |
none |
3 |
|
NA |
present |
none |
4 |
|
NA |
NA |
minor |
5 |
|
NA |
NA |
major |
6 |
Minor tissue loss may include nonhealing ulcer, focal gangrene, diffuse pedal ischemia.
Major tissue loss extends proximal to the transmetatarsal level with the foot no longer salvageable.
|
Category |
Class |
|
0 to 3 |
I |
|
4 or 5 |
II |
|
6 |
III |
Specialty: Cardiology
