Peripheral Arterial Disease occurs when blood flow to the extremities—in most cases legs and feet—becomes blocked due to the buildup of plaque in the arteries. Critical Limb Ischemia (CLI) is the most severe form of PAD, causing leg pain at rest, poorly healing foot wounds, or gangrene.
It’s the 21st century. Why are there still so many amputations?
Amputation—the complete or partial removal of a limb—is the most conventional and common approach to treating severe CLI, particularly for older individuals. As recently as 2017, 70% of CLI patients received amputation before any intervention. Unfortunately, after amputation, most patients deteriorate rapidly. According to a recent study on amputation for chronic CLI.
- The mortality rate is 44% one year after amputation
- 66% mortality rate three years after amputation
- 85% mortality five years after amputation
At American Endovascular, we believe patients with severe CLI deserve better. That’s why we’re doing something about it. We save limbs for most patients we treat, helping them enjoy longer, healthier and happier lives.
What are the symptoms of Critical Limb Ischemia?
A common symptom of Critical Limb Ischemia is known as ischemic rest pain, which is an intense pain in legs & feet which can be so severe it can often wake people when sleeping. Sometimes temporary relief occurs when dangling the legs, or standing. Other symptoms of CLI include:
- Non-healing wounds on the feet or legs
- Leg pain when walking
- Diabetic foot ulcers
- Foot pain or numbness
- Excessively shiny, smooth, or dry skin on the legs and feet
- Thickening of the toenails
- Diminished, or no pulse in the legs or feet
- Dry, black skin on the legs and feet (dry gangrene)
- Foot infections
- Leg swelling and discoloration
What are the risk factors of Critical Limb Ischemia?
There are many factors that can lead to CLI including:
- Aging population
- Chronic Kidney Disease
- Sedentary lifestyle
- High cholesterol
- High blood pressure
- Family history of atherosclerosis or claudication
If you or someone you know is at risk, it is essential that you schedule a physician consultation with American Endovascular today.
Conditions We Treat
How American Endovascular can help treat Critical Limb Ischemia and salvage limbs
American Endovascular provides patients with the most up-to-date non-surgical treatment options to save limbs and prolong life. Our Endovascular treatments have resulted in saving over 80% of limbs after amputation was recommended elsewhere.
Endovascular treatment is the least invasive way to restore blood flow to limbs. Here’s how some Endovascular procedures work:
- A catheter (thin plastic tube) is inserted into the artery, without surgery, through a small nick in the skin at the groin or in the foot…the nick is so small there is not even an incision to heal
- A catheter is threaded to the area of narrowing and disease which has been affected by plaque build up
- Specialized catheters open the blocked arteries by removing or destroying plaque (called atherectomy), or displacing and disrupting it with a balloon that is inflated briefly. Atherectomy may include a variety of additional advanced tools such as laser as well orbital and rotational atherectomy. Opening of arteries with a balloon catheter is called angioplasty.
- A variety of additional state of the art methods may be utilized and inserted to keep the artery open including drug delivery systems, stents, covered stents, Drug Eluding Stents (DES), Drug Covered Stents (DCS).
American Endovascular saves the limbs that others can’t.
American Endovascular is at the forefront of the battle to prolong life by preventing amputations. We accomplish this by using the most advanced non-surgical Endovascular treatment options available anywhere, to save limbs and save lives.
- The physicians of American Endovascular are recognized worldwide as innovators in the field of complex lower extremity PAD and CLI treatment
- We have demonstrated success in restoring optimal blood flow by targeting blocked arteries in the ankle and feet using specialized techniques and tools
- We can treat patients who have been told by other doctors that they have “no other options” than amputation.
- We have access to clinical trials that others do not
- Our physicians specialize in treating the small, extremely difficult blocked arteries in the foot and toes that others do not attempt to treat
Our track record speaks for itself.
American Endovascular has been able to restore blood flow and salvage treated limbs in 80% of patients that were told they needed a major amputation.
I have worked with both Dr. Herman and Dr. Rundback. They saved the limb of one of my patients that the Endovascular surgeon told me was unsalvageable. I have not found too many doctors willing to restore flow to the foot and the plantar arch and who have been successful. If we want to pride ourselves in being the best we need to associate with the best.