Limb salvage is a goal to achieve in patients with critical limb ischemia. In a patient with severe pain and gangrenous areas on the foot due to occlusion of the arteries, an hour procedure changed his fate from a lifeless foot to a foot with blood flow and painless toes. It took what we call atherectomy and balloon angioplasty over one hour then patient was in a different le el of comfort. The patient's limb was considered to be not salvageable by another group but managed to change this fate through aggressive and highly technical approach to his vessels.
Our team identifies such patients who are candidates for intervention. Symptoms reflecting blood flow problems and noninvasive evaluation by Duplex ultrasound are the first steps especially in patients with diabetes who have calcified vessels with hard plaques like what we see in the attached image. This plaque was removed in a filter used to capture all debris that can result from the intervention.
One the vessels are open and blood flow is restored, we follow patient with all what is needed to help them heal their wounds. Our expert teams of physicians, nurse practitioners and staff are well equipped to help patients by proper dressing, oxygen therapy, physiotherapy that will help healing.
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