Herbert Oye,D.O., Yahaya Adamu, M.D., Quoc Tran, MS, Allie Reed, MS,PA-C.
Raleigh General Hospital,USA, Beckley Appalachian Hospital, USA, National
Hospital, Abuja, Nigeria.

ABSTRACT

BACKGROUND

Peripheral vascular disease affects about 10 to 12 million Americans.  When coupled with Diabetes Mellitus and non healing wounds the potential for limb loss can be heightened. There are over 200,000 amputations performed yearly in the USA and globally the numbers are even higher.  The strategies for limb preservation require dedicated Endovascular and Vascular interventionists working in concert with a team of well trained Nurses, Technologists, and Medical Device Representatives to choose the treatment modality that will yield successful outcomes with minimal complications, morbidity, and mortality.

The accurate and flexible clinical judgement of the Endovascular and Vascular Surgeon is paramount for success.  The tool box of the Interventionist is constantly undergoing a paradigm shift .  These may include balloon angioplasty, drug eluding angioplasty or stents, atherectomy, stenting, embolectomy, rheolytic therapy, thrombolysis, hybrid therapy, and major open revascularization options.

OBJECTIVES:  To highlight the various limb salvage options available in our current clinical practice.  A retrospective review of cases performed in USA and at the National
Hospital, Abuja, Nigeria, & Bayelsa Specialist Hospital, Yenagoa, Nigeria.

METHODOLOGY: Retrospective Review of patients treated with angioplasty, stenting, embolectomy, atherectomy, endarterectomy, and open bypass operations from 2005 to 2018.

RESULTS:  Successful interventions with decreased need for limb amputations.

CONCLUSION: Well planned  Endovascular, hybrid, and open revascularization strategies can result in limb preservation and decreased amputations.

CONCLUSION: Well planned  Endovascular, hybrid, and open revascularization strategies can result in limb preservation and decreased amputations.