Endovascular
Treatment for
Limb Preservation

Endovascular treatment is a Minimally Invasive approach designed to restore blood circulation from inside the arterial vessels, avoiding the need for complex open surgeries.

Through a small puncture (usually in the groin or foot) and guided by real time digital radiology technology, the specialist uses tiny tools to unblock the lumen of the occluded artery and allow blood to flow back to the tissues.

If you are facing a severe diagnosis of poor circulation, it is possible to evaluate the viability of an endovascular procedure before considering drastic options.

Endovascular
Treatment for
Limb Preservation

Endovascular treatment is a Minimally Invasive approach designed to restore blood circulation from inside the arterial vessels, avoiding the need for complex open surgeries.

Through a small puncture (usually in the groin or foot) and guided by real time digital radiology technology, the specialist uses tiny tools to unblock the lumen of the occluded artery and allow blood to flow back to the tissues.

If you are facing a severe diagnosis of poor circulation, it is possible to evaluate the viability of an endovascular procedure before considering drastic options.

What is endovascular treatment?

Endovascular treatment is a minimally invasive approach aimed at reopening or dilating blocked or narrowed arteries from inside the blood vessel itself. Unlike conventional open surgery, these procedures are performed through a millimeter-sized puncture (usually in the groin or foot), utilizing advanced real-time radiology and digital imaging technology to guide highly precise instruments inside the arteries.

The choice of a specific technique depends on each patient’s unique vascular
anatomy and the angiography findings:

Angioplasty: The precise inflation of a small micro-catheter balloon to expand the arterial lumen.

Vascular Supports Stents:The placement of a tiny metal mesh to keep the artery open if the vessel’s structure requires it.

Atherectomy:Devices designed to remove or reduce the atherosclerotic plaque built up on the arterial walls.

The goal of these techniques is to restore blood flow, promote the natural
healing process, and explore alternatives to amputation.

Dr. Mariano Palena

INTERNATIONAL EXPERIENCE IN LIMB PRESERVATION

Dr. Mariano Palena is an internationally recognized interventional radiologist specializing in the diagnosis and endovascular treatment
of complex arterial pathologies.
He actively collaborates with leading vascular medical centers in
Italy, Spain, and Bulgaria, offering comprehensive evaluations to patients at risk of limb loss.

His Approach
is Based On

    • High-Precision Techniques: Geared toward the recanalization of complex and small-caliber arterial occlusions.
    • Personalized Therapeutic Plans: Tailor-made for each patient’s specific vascular anatomy.
    • Our Philosophy: To explore all possible alternatives to amputation whenever clinically
      viable—without creating false expectations.
  • Amputation should always be the last resort. Restoring blood flow gives the patient the opportunity to heal the tissue, maintain mobility, and preserve their quality of life.

Take the first step toward preserving
your limb.

If you or a loved one has been diagnosed with CLTI, severe PAD, or dia-
betic foot complications, do not let time pass by. Every day counts
when blood circulation is compromised.

Who can be evaluated for
these
treatments?

Endovascular revascularization procedures are typically evaluated in patients presenting with:

    • Chronic Limb-Threatening Ischemia (CLTI).
    • Severe-stage Peripheral Arterial Disease (PAD).
    • Diabetic foot ulcers or lesions related to poor circulation.

Contact us

If you have been told that amputation is the only option, a specialized review of your angiography can reveal revascularization alternatives before making an irreversible decision.

Frequently asked questions

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