Dr Mariano Palena

Specialist in Foot Preservation and Limb Salvage

Dr. Mariano Palena is a specialist in advanced vascular revascularization and minimally invasive endovascular procedures dedicated to foot and leg salvage in complex cases of Chronic Limb-Threatening Ischemia (CLTI) and Diabetic Foot. If you have been told there are no options or amputation has been mentioned, there is a real possibility of evaluating advanced alternatives aimed at revascularizing the arteries of the foot and restoring circulation.

Dr Mariano Palena

Specialist in Foot Preservation and Limb Salvage

Of Exclusive
Specialization

+ Years

Procedures
Performed

Preservation
Rate

> %

Consic Cases
“No Option”

> %

Of Exclusive
Specialization

+ Years

Procedures
Performed

Preservation
Rate

> %

Consic Cases
“No Option”

> %

Experience

Dr. Luis Mariano Palena is a global reference in interventional radiology focused on limb salvage. His clinical practice combines technical innovation, scientific rigor, and over 16 years dedicated exclusively to the revascularization of patients with Chronic Limb-Threatening Ischemia (CLTI) and Diabetic Foot complications.

Experience

Dr. Luis Mariano Palena is a global reference in interventional radiology focused on limb salvage.

His clinical practice combines technical innovation, scientific rigor, and over 16 years dedicated exclusively to the revascularization of patients with Chronic Limb-Threatening Ischemia (CLTI) and Diabetic Foot complications.

Pathologies

Diabetic Foot

What is a diabetic foot and how to avoid amputation? The diabetic foot is a severe complication that combines a loss of sensation (neuropathy) with a lack of blood flow (arterial disease). Without adequate blood flow, a simple wound or blister can become a deep ulcer, get infected, and progress rapidly toward amputation.

CLTI

What is CLTI? Chronic Limb-Threatening Ischemia CLTI represents the most advanced and critical stage of peripheral arterial disease. It occurs when the arteries of the legs and feet suffer severe blockages that prevent oxygen from reaching the tissues. Without timely endovascular intervention focused on revascularizing the foot’s arteries, amputation becomes inevitable.

Endovascular
treatment

What is Endovascular Treatment? An Alternative to Amputation Unlike conventional open surgery, endovascular treatment allows for the unblocking of arteries from inside the blood vessel. Through a millimeter-sized puncture (usually in the groin) and guided by high-precision digital imaging technology, direct arterial circulation to the foot is restored.

Diabetic Foot

What is a diabetic foot and how to avoid
amputation?

The diabetic foot is a severe complication that combines a loss of sensation (neuropathy) with a lack of blood flow (arterial disease). Without
adequate blood flow, a simple wound or blister can become a deep ulcer, get infected, and
progress rapidly toward amputation.

CLTI

Endovascular
treatment

What is Endovascular Treatment? An Alternative to Amputation

Unlike conventional open surgery, endovascular treatment allows for the unblocking of arteries from inside the blood vessel. Through a millimeter-sized puncture (usually in the groin) and guided by high-precision digital imaging technology, direct arterial circulation to the foot is restored.

Access to Care across Europe

Europe · Latin America · United Arab Emirates · EUnited States

Dr. Mariano Palena evaluates complex cases and collaborates with leading vascular centers and hospitals around the world. Contact us to schedule a case evaluation or request a specialized second opinion.

Success stories

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Frequently asked questions

Can I avoid amputation if I have diabetes or CLTI?

Yes, in most cases. Early diagnosis and endovascular treatment can restore circulation and save the limb. Dr. Mariano Palena uses angiography to identify exactly where the blockages are and applies advanced techniques to unblock the arteries. Even in advanced cases, there are preservation options.

What is the difference between amputation and endovascular treatment?

Amputation is irreversible and permanently affects your quality of life. Endovascular treatment is minimally invasive, restores circulation, allows for rapid recovery (24-48 hours), and leaves your limb intact. It is the first option to explore before considering amputation.

When is an angiography necessary?

An angiography is essential when you have symptoms of diabetic foot, CLTI, non-healing ulcers, or limb pain. Angiography is a minimally invasive diagnostic procedure that allows us to see exactly which arteries are blocked. Without it, the correct treatment cannot be planned.

Is endovascular treatment painful?

No. It is performed under local anesthesia or sedation. You will feel pressure during the procedure, but no pain. Dr. Palena uses modern techniques that minimize discomfort and recovery time.

Contact us

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