Amputation Prevention Treatment
ProVascularMD performs amputation prevention treatment in Los Angeles & Southern California. We’ve made it our mission to do everything we can to prevent all but the most necessary amputations. Visit our amputation prevention treatment centers in Los Angeles & Southern California for more information!
Amputation is a critical juncture in the natural progression of diabetes and vascular disease. It is associated with high mortality rates, high healthcare costs, and an irreversible reduction in quality of life. No matter the circumstance, the decision to amputate should not be made lightly and care providers should seek every viable alternative for their patients. Amputation prevention has emerged as a specialty area offered by an elite class of Vascular Specialists that can effectively re-establish flow throughout the lower extremity. ProVascularMD has amputation prevention treatment centers in Los Angeles and Southern California, and we’ve made it our mission to do everything we can to prevent all but the most necessary of amputations.
In the rest of this article, we dive deep into the current state of vascular-related amputation in the United States, and the prominent role that vascular care plays in amputation prevention. Read on to learn more.
Your Partner in
Dr. Michael Lalezarian
Complications of Amputation
Understanding Amputation Risk
Amputation Prevention Treatment
Preventative efforts should begin as early as possible in the course of PAD, but implementing them requires diligent care providers, aggressive screening programs, and the right network of specialists. PAD guidelines recommend screening every individual over 65, individuals over 50 if they have diabetes or history of smoking, and individuals under 50 if they have diabetes and at least one additional risk factor. As comprehensive as this approach should be, many patients still slip through and go undiagnosed until it’s too late. As physicians, we need to redouble our efforts to catch PAD in its early stages by looking out for telling risk factors and symptoms, and also in its later stages by shifting focus from the wound we can see to the vascular system beneath the wound.
Assuming a successful diagnosis, treatment poses its own hurdles. Lifestyle modifications are certainly an ongoing challenge in the PAD population where medical advice is seldom followed by patients. For this reason, PAD intervention is often reactive to emergent symptoms. To get ahead of amputation then, general practitioners, podiatrists, and wound care specialists must be proactive in involving their Vascular colleagues. Revascularization is recommended when symptoms cannot be addressed with conservative therapies, making it a viable option for late-stage PAD before CLI sets in. Even when the patient is in CLI and being considered for amputation, it’s not too late to save the limb. The right Vascular Specialist can re-establish flow and restore the limb to health in lieu of amputation.
The Role of Revascularization in Amputation Prevention
Success of Amputation Prevention Programs
Management of peripheral artery disease and its complications is complex and involves a diverse medical team to successfully prevent amputation. Dedicated amputation prevention programs, also called limb salvage programs, have been established by many Vascular Specialists around the country to more effectively manage the complexities of PAD care and maximize limb survival. At their core, amputation prevention centers focus on comprehensive vascular screening, imaging, and interventional services for PAD, while actively coordinating with complimentary care providers in wound care, podiatry, infectious disease, endocrinology, and other disciplines as needed.
As a relatively new and innovative development, evidence for amputation prevention programs is limited to single centers, but these centers have boasted tremendous success. One such amputation prevention center in Florida formally reported reducing amputation rates from 29% to 1% over the course of a 5-year period . We’re happy to say that we’ve seen similar levels of success in our own practice at ProVascularMD amputation prevention centers in Southern California. Get in touch to learn more.
Peripheral Artery Disease Screening: Why Early Detection is Critical in PAD
Endovascular Treatment of
Lower Extremity Arterial Disease
Vascular Specialist in Los Angeles
Learn more about Los Angeles Vascular Specialist Dr. Michael Lalezarian.
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