Limb Salvage Center
What is Limb Salvage?
Many amputations are preventable with modern vascular approaches, so the possibility of limb salvage should always be evaluated before an amputation is prescribed. As vascular specialists, we play a critical role in treating the underlying occlusion and restoring blood flow, but this is one of many components of care that are needed to maximize the patient’s chances of healing, restoring function, and ultimately avoiding the need for amputation down the line. Successful limb salvage relies on aggressive care from wound specialists, podiatrists, infectious disease specialists, endocrinologists, and other medical disciplines that can actively manage exacerbating comorbidities throughout the healing process.
Your Partner in
Dr. Michael Lalezarian
Dr. Michael Lalezarian is a double-board certified Vascular Interventional Radiologist specializing in minimally invasive endovascular arterial revascularization. He is a committed partner in the battle against the devastating consequences of advanced vascular disease.
Adrianne S, October 2018
Limb Salvage Surgery Indications
When evaluating ulcer patients, it’s common to focus on the visible manifestations of the disease and to overlook the underlying vascular phenomenon. An ultrasound exam is usually all that’s needed to determine if a vascular intervention could be of benefit, and can make all the difference when a patient is on the path to amputation.
Peripheral Artery Disease
Critical Limb Ischemia
Chronic Venous Insufficiency
Deep Venous Obstruction
Limb Salvage Procedures
A skilled vascular specialist utilizes a deep armemotorium of techniques and a variety of devices to address the unique needs of each individual patient. While open vascular surgery is practiced by some vascular surgeons and reserved for special situations, many vascular procedures today are done with minimally invasive, catheter-based techniques. These are also referred to as pinhole procedures or keyhole procedures, because a vascular specialist can treat the vascular disease through a single tiny puncture in the leg, the foot, or the arm by threading a small tube through the vascular system to the treatment site.
The exact treatment parameters, anatomy, devices, and techniques vary enough between arterial and venous treatment that specialized training and practice is required to specialize in one or the other. Dr. Lalezarian specializes in both arterial and venous revascularization and is able to provide comprehensive vascular treatment to patients in his care.
Lower Extremity Arterial Disease
 Sanguily J, Martinsen B, Igyarto Z, Pham M. Reducing amputation rates in critical limb ischemia patients via a limb salvage program: a retrospective analysis. Vasc Dis Manage. 2016; 13(5):E112‐E119.
 Barnes JA, Eid MA, Creager MA, Goodney PP. Epidemiology and Risk of Amputation in Patients With Diabetes Mellitus and Peripheral Artery Disease. Arterioscler Thromb Vasc Biol. 2020;40(8):1808-1817. doi:10.1161/ATVBAHA.120.314595
 Tsai, S., Dubovoy, A., Wainess, R., Upchurch, G. R., Wakefield, T. W., Henke, P. K., & Arbor, A. (2000). Severe Chronic Venous Insufficiency : Magnitude of the Problem and Consequences, 705–711. http://doi.org/10.1007/s10016-005-5425-8
 BackTable, LLC (Producer). (2020, March 28). Ep. 60 – Building A Limb Salvage Program [Audio podcast]. Retrieved from https://www.backtable.com/podcast/60/building-a-limb-salvage-program
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