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Amputation Prevention & Limb Salvage

amputation is not the only option

We are active in supporting educational conferences around the country related to PAD Treatment and Peripheral Intervention. By utilizing the most advanced diagnostic and treatment techniques, we can make a significant difference in the prognosis of people living with PAD and improve their quality of life.

Our state-of-the-art diagnostic equipment and innovative treatment techniques allow us to create a customized treatment plan for each individual case. You can rest assured that you are receiving the most advanced treatment available, with minimal downtime, all in an outpatient setting. You will receive one-on-one care with the physician and nursing staff in a comfortable environment, and most patients are able to leave within 4-6 hours after their procedure.

amputation should be a method of last resort

If you have been told you need an amputation, it is best to seek a second opinion prior to making a life-changing decision such as limb amputation. According to a recent study regarding mortality rate in elderly patients with Critical Limb Ischemia, the below statistics were gathered:

  • After one year of a major amputation, the mortality rate is 44%.
  • After three years of a major amputation, the mortality rate is 66%.
  • After five years of a major amputation, the mortality rate is 85%.



Many people are told they need a limb amputation, without having had any diagnostic testing that could potentially save their limb with revascularization techniques. A recent study looking at over 20,000 Medicare patients who received amputations showed that 54% did not receive any vascular procedure, including a diagnostic angiogram. 


What is a diagnostic angiogram?

A diagnostic angiogram is used to find abnormalities of the blood vessels, such as narrowing and blockage caused by fatty deposits or blood clots, and aneurysms. It involves using a test known as an angiogram to get an image of what is happening with the bloodstream.

During the angiogram, your treatment provider will inject a dye into a blood vessel using a very small, flexible tube called a catheter. The dye helps technicians and doctors locate abnormalities and determine the best treatment option.

Only 1 in every 5 people who have been amputated received a diagnostic peripheral angiogram.

Minimally-Invasive Revascularization Procedures

Shown above is an example of an Angioplasty, where a catheter is inserted and uses a balloon to expand the blood vessel. This allows a stent to be placed if needed to keep the blood vessel open.

Despite a growing number of vascular specialists and facilities performing peripheral interventions (minimally-invasive procedures performed using a catheter), Amputation remains the most conventional and common approach to treating severe stages of Critical Limb Ischemia. The Texas Cardiac & Vascular Institute does not perform amputations, and is invested in community outreach and education to spread the word about the limb and life saving procedures. 

The experts at The Texas Cardiac & Vascular Institute specialize in minimally invasive treatments for peripheral artery disease (PAD). These treatments help restore blood flow to affected areas in the lower extremities. The goal of these treatments is to relieve pain, assist with wound healing, improve mobility, restore sensation, and, most importantly, prevent amputation. Some of the revascularization techniques uses at The Texas Cardiac & Vascular Institute include:

  • Percutaneous Transluminal Angioplasty (PTA)
  • Stent Placement
  • Atherectomy


What is Critical Limb Ischemia & Peripheral Artery Disease?

Peripheral Artery Disease (P.A.D.) is a blockage of arteries in the lower extremities that leads to potential amputation if left untreated. Severe cases of P.A.D. lead to Critical Limb Ischemia, a severe blockage of the arteries which markedly reduces blood flow to the extremities, to the point of severe pain and skin sores or ulcers.

We are here to help.

Treatment for Peripheral Artery Disease (PAD) and amputation prevention is our #1 focus at The Texas Cardiac & Vascular Institute. Please reach out if you or a family member has signs or symptoms of PAD.