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Limb Salvage/RESTORATION

At the Vascular & Interventional Pavilion, our limb salvage RESTORATION program is for patients with a lack of blood flow in their legs. Our board-certified vascular surgeons in Tampa, Lakeland, and Largo, Florida have perfected this program to provide the best results for patients with circulation problems resulting from injuries or disease, such as diabetes, peripheral arterial disease (PAD), and gangrene.

RESTORATION is an innovative procedure to improve blood flow in the arteries of your legs and improve the quality of your life.

The signature procedure of VIP is RESTORATION, an innovative approach to treating lower extremity vascular disease. Traditionally, patients with moderate to severe leg vascular disease require bypass procedures to redirect blood flow around blockages. In RESTORATION, our VIP doctors use pioneering minimally invasive techniques and equipment to open up blockages while minimizing tissue trauma.

By utilizing techniques and equipment that minimize tissue trauma, clinical results are obtained and patients can return to their normal routines quicker than with traditional open surgeries. In addition, RESTORATION is performed in our comfortable office-based operating room, further accelerating the odds that patients return to their normal life as soon as possible.

STEP 1

Call one of our office locations to schedule a consultation with one of our board-certified vascular surgeons.

STEP 2

After completing patient registration forms in our office, you will have a history and physical (H&P) with one of our caring, expert physicians. They will determine an initial treatment plan and decide if additional vascular testing is required.

STEP 3

Your vascular surgeon may decide that non-invasive vascular testing is required. Our laboratory is conveniently located in our office and we strive to complete this evaluation during your visit. The tests are painless and take approximately 40 minutes.

After your comprehensive evaluation, if it is determined that you are a candidate for a RESTORATION procedure, your VIP physician may require you to visit your primary care physician to make sure you are optimally prepared for therapy. This may include blood evaluation.

STEP 4

Prior to the day of your scheduled procedure, you will receive detailed instructions from our office. On the day of the procedure, you will be taken care of by our specialist nursing staff. They will escort and prepare for your RESTORATION procedure in our in-office suite. Your vascular surgeon will use special techniques and instruments to safely open up your arteries. The procedure will take 30 minutes to 2 hours.

STEP 5

Immediately after your procedure, you will recover under the care of our RN staff. While the majority of patients are expected to be discharged home after several hours, we occasionally need to keep patients overnight for observation.

STEP 6

One week after your procedure, you will return to our office to check on your progress.

Other Limb Salvage Procedures

Angioplasty & Stenting

Angioplasty and stenting procedures are excellent tools to treat diseases involving the arteries. Our vascular surgeons perform angioplasty by making a needle puncture into an artery in the groin, utilizing ultrasound guidance for increased precision. 

Using a C-arm for X-ray guidance, a balloon-tipped catheter is threaded from the access site through the arterial system to the artery that is blocked or narrowed. Once the balloon is positioned under the plaque, the balloon is inflated to break up and compress the plaque and widen the blood vessel, improving blood flow through the artery. In some cases, a small stent (a metal-mesh tube) is inserted to prop open the artery following angioplasty.

Angioplasty and stenting generally takes about 3 hours or less. You will be given adequate sedation to ensure that you are relaxed and comfortable during the procedure.

Atherectomy

An atherectomy is especially helpful for treating blockages in arteries that occur around branches or in vessels that are not easily treated with stents. The vascular surgeon utilizes a catheter with a diamond burr on the end to remove calcified plaque from a blood vessel.

During an atherectomy, the surgeon will insert the catheter through a small puncture in the artery, using ultrasound guidance for optimal precision. The catheter is designed to sand the plaque into tiny particles smaller than red blood cells, which are washed away with blood flow. The process is repeated at the time of treatment until a significant amount of disease is removed from the artery, thus eliminating the blockage.

Atherectomies are performed under light sedation. You will be given a mild sedative and will be awake during the procedure.

Diagnostic Vascular Imaging

We are proud to offer our patients an onsite vascular imaging laboratory, conveniently located within our St. Petersburg, Florida office. With an in-office lab, our board-certified vascular surgeons can review the results immediately and diagnose and treat vascular conditions in the least invasive way.

Tests offered by the Vascular & Interventional Pavilion lab include:

  • Duplex ultrasonography for both arterial and venous disease
  • Abdominal ultrasound
  • Renal ultrasound
  • Carotid ultrasound
  • Angiogram
  • Segmental limb pressure readings
  • Ankle-brachial index (ABI) recordings
  • Leg segmental pressure recordings
  • Pulse volume recording
  • Digital subtraction angiography
  • And more

To learn more or to schedule a RESTORATION or other limb salvage procedure, contact us today. Physicians may use our rapid referral form for your patient to be seen at VIP.