Peripheral arterial disease is the blockage or narrowing of arteries that causes poor blood flow to your arms and legs. These blockages prevent blood from flowing freely, depriving your muscles and other tissue from the oxygen they need.
Weill Cornell Medicine’s limb salvage and wound care team specializes in treating peripheral vascular disease and associated complications. Our physicians provide comprehensive care for our patients with expertise in diagnostic imaging, vascular medicine, and cutting-edge minimally invasive therapies.
Conditions We Treat
We specialize in all aspects of peripheral arterial disease, including wound care. Some of the most common conditions we treat include:
• Intermittent claudication
• Critical limb ischemia
• Acute limb ischemia
• Diabetic/arterial wounds
Intermittent claudication is cramping or pain in your calf muscles when there is reduced blood flow during exercise, such as walking up a steep hill or a flight of stairs. Usually, the pain occurs after the same amount of exercise and is relieved by rest.
The reduced blood flow is secondary to either a narrowing or blockage in the blood vessels supplying the leg.
Critical Limb Ischemia
Critical limb ischemia (CLI) is described as having pain in your legs at rest, non-healing leg/foot wounds, or gangrene in your toes or feet. Like intermittent claudication this is secondary to narrowing or blockages in the blood vessels supplying the leg, usually below the knee.
Acute Limb Ischemia
Acute limb ischemia (ALI) is an acute onset of a cold and pulseless lower extremity. Often times an acute blood clot can travel from elsewhere in the body and get lodged in the leg blood vessels, starving the leg of blood flow. This is a medical emergency and expedited intervention is critical to save the limb.
Patients with diabetes often present with wounds on their feet. This is secondary to a multitude of factors most diabetics have, including poor circulation.
In some instances, these wounds and ulcers, if allowed to progress can lead to amputation. Our goal is to avoid amputation by offering minimally invasive treatment options. Members of our team are certified wound care experts and subsequently ensure adequate wound care and treatment.
Treatments We Offer
We utilize the latest in treatment options to restore and improve blood flow including:
• Retrograde tibial/pedal access
• CART (Controlled Antegrade and Retrograde Subintimal Tracking)
• SAFARI (Subintimal Arterial Flossing with Antegrade-Retrograde Intervention)
• Intravascular lithotripsy
• Deep venous arterialization
Why Choose Weill Cornell Medicine?
Weill Cornell is a leader in the field, with a long tradition of expertise, innovation, and leadership. In particular, we are pioneers of minimally invasive procedures, which eliminate the need for open surgery and allow for shorter and less painful recovery times.
As an institution, we are also committed to delivering safe, effective, and compassionate care to all our patients. We offer same-day consultation and non-invasive imaging including ABI/PVR, duplex ultrasound and CTA/MRA.
Contact us today to schedule an appointment.