Management of Critical Limb Ischemia

Our program is a national leader in the use of primary endovascular therapy for peripheral artery disease.


Among the most gratifying achievements in the Division of Vascular and Endovascular Surgery is the program's longstanding success in saving the limbs of patients compromised by severe peripheral artery disease (PAD).  Our expertise and high-volume program in revascularization and primary endovascular therapy for the treatment of  peripheral artery disease (PAD) has helped our patients avoid amputations, regain mobility and return to their daily routines.

Treating PAD

diagram of the legs showing normal and diseased peripheral arteries The Division of Vascular and Endovascular Surgery is one of the most active centers of lower extremity revascularization for treatment of PAD anywhere. Our surgeons are skilled in performing minimally invasive, open and/or hybrid procedures, including:

  • Angioplasty
  • Stenting
  • Thrombolysis
  • Atherectomy
  • Surgical bypass
  • Endarterectomy
  • Thrombectomy

Lower Extremity Bypass Surgery

In close affiliation with Joslin Diabetes Center, our physicians have pioneered treatments for circulatory impairment in the legs and feet brought on by diabetes.

Treatments include innovative surgical bypass techniques to treat blockages or narrowing in the leg arteries.

The great majority of peripheral vascular surgery bypass patients — including those with and without diabetes — do well and avoid amputation.

We also provide comprehensive inpatient and outpatient wound care for chronic and slow-healing diabetic foot and lower-extremity ulcers.

For patients with foot ischemia and with diabetes who have had a graft, limb salvage is greater than 80 percent five years after treatment.

Learn More About PAD