Limb ischemia occurs when the blood flow is limited or blocked, preventing adequate circulation to keep the tissues alive in the extremity. This condition can affect your hands, feet, and legs, and the lack of oxygen and nutrients to the limb tissue causes pain, dysfunction, and ultimately tissue death or gangrene. Critical Limb Ischemia (CLI) is a condition that worsens over time and presents acutely. As the blood vessels narrow, limiting essential blood flow, immediate intervention is often required for limb salvage; otherwise, patients at this stage are at extreme risk for limb amputation.
You Have a Choice When It Comes to Vascular Care.
Get an Appointment at VIC In 1 to 3 days – Without a Referral!
You Have a Choice When It Comes to Vascular Care.
Get an Appointment at VIC In 1 to 3 days – Without a Referral!
Critical Limb Ischemia treatment may include medication management, wound treatment, or vascular surgery. Medications to manage high blood pressure or cholesterol and modifications of lifestyle and eating choices will be the first tier of intervention. Patients with CLI experience issues with chronic wounds or ulcers, requiring wound treatment management. The last option would be for surgical intervention; in most cases, this can be done in an outpatient setting, which would include angioplasty, atherectomy, or stenting, or within the hospital setting, which would include bypass surgery, endarterectomy, or, as a last resort, amputation.
Critical Limb Ischemia is the natural progression of patients suffering with
Ulcers in individuals with critical limb ischemia develop because narrowed or blocked arteries restrict proper blood flow to the limbs. This lack of blood flow means tissues don’t receive enough nutrients or oxygen to function and heal effectively, leading to tissue damage and ulcers, which are significant critical limb ischemia symptoms.
With timely and appropriate critical limb ischemia treatment, blood flow to the leg can often be restored. Once circulation is improved, wounds and dying tissue can heal. Surgical procedures, including endovascular options or surgical bypass, are available to help restore blood flow. Differentiating between acute vs critical limb ischemia, where CLI is a more chronic and severe stage, is important for determining the best course of action.
In a critical limb ischemia treatment approach like angioplasty, a balloon-tipped catheter is used to open the blocked artery and improve blood flow. A stent may then be placed inside the vessel to help keep the artery walls open and maintain adequate circulation.
Uncontrolled diabetes significantly increases the risk of vascular disease, including critical limb ischemia, and impairs the body’s ability to heal wounds. Infected wounds pose a serious risk, especially for individuals with diabetes, emphasizing the need for daily foot checks and prompt medical attention for any skin breaks.
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