The Impact of Restoring Flow in Order to Preserve Limbs

Today’s Wound Clinic
Desmond Bell, DPM, CWS, FFPM RCPS (Glasgow)

When trying to prevent lower extremity amputation, it is critical that wound clinicians restore blood flow in a quick and aggressive fashion. This author offers a historic perspective of advances in endovascular technologies and how they can save limbs.

The title of this article, “The Impact of Restoring Flow in Order to Preserve Limbs,†cannot be emphasized enough as restoring blood flow to preserve limbs is the essential step when attempting to save an ischemic lower extremity.

The emergence of endovascular technologies over the past 15 years has had the single most important impact for the patients I have treated in that time, and therefore, I would like to present a historical perspective to fully appreciate how important these breakthroughs have been.

On a personal note, I have dedicated my medical career and clinical practice of nearly 25 years to wound management and lower extremity preservation. I could have turned this into a purely academic presentation, complete with extensive citations and references to lend credibility to the message. But as the saying goes, “been there, done that.†This time, I would like to share some stories and, in the process, further motivate you in your efforts and help you better understand the importance of your contributions to the medical specialty of wound management.

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