Early Intervention Can be Key for Critical Limb Ischemia (CLI)

Mark Wright, 60

A few years ago, I was on dialysis for nine months while waiting for a kidney transplant. During that time, I started to have issues with my feet going numb. The dialysis made it harder to manage my type 2 diabetes and I thought it might be diabetic neuropathy. Once I had the transplant, I felt great, but I still had some numbness in my feet.

A couple of months after my surgery, I was playing golf and walked for several hours. I ended up with a small blister on my toe. The blister got infected and would not heal. When I saw a foot doctor to treat my infected toe, he tried some treatments that were unsuccessful and then recommended I see avascular surgeon.

Critical Limb Ischemia (CLI)

I was not getting enough blood flow to my foot so my wound was not healing.”

Road to Diagnosis and Treatment

Critical Limb Ischemia (CLI)

After seeing several different doctors about my toe, I was nervous about the possibility of losing my foot. I was not getting enough blood flow to my foot so my wound was not healing (a symptom of CLI). A surgeon tried a balloon but it did not work out in my case. I did some research and found that the Mayo Clinic was placing stents in the leg to increase blood flow to feet. I traveled there to get the procedure in my right leg and it went well. I was able to keep my foot and it healed properly.

About a year later, I started to have similar issues with my left leg. I found a local clinic who was also placing stents and developed a great relationship with the doctors there. We tried several treatments to address my condition and in the end, I had stents put in my left leg as well. The stent procedure was a success and I now have better blood flow to my foot. I am doing well and looking forward to playing golf again.

Critical Limb Ischemia (CLI)

The stent procedure was a success and I now have better blood flow to my foot.”

How Others Can Take the Step Toward Better Health

I feel that some of my issues may have resulted from my diet and exercise choices earlier in life. I would tell others to watch what you eat and make sure you exercise. If you have numbness or wounds, go to your doctor. Don’t wait because if you are not getting good blood flow to your feet, it will not heal properly. I stay on top of things now and I am very quick to address any new issues with my doctors.

Critical Limb Ischemia (CLI)

Model for illustrative purpose only.


Staying Positive about Life with Critical Limb Ischemia (CLI)

Critical Limb Ischemia (CLI)

Jerry Swindle, 75

Four years ago, I traveled to a family reunion and noticed that I couldn’t walk very far. My leg would give out and start hurting. I thought it was strange but didn’t do anything about it for a year. I only went to my doctor when I started having problems with my big toe. My doctor referred me to a podiatrist when my toe nail fell off.

Once I saw the podiatrist, he sent me on to a vascular doctor. I didn’t really know what was happening to me but my big toe turned black. After seeing the vascular doctor, I found out that I was not getting enough blood flow in my feet which is a symptom of peripheral artery disease (PAD). Things only got worse and I got a wound on my foot that wouldn’t heal.

Critical Limb Ischemia (CLI)

My big toe turned black and I got a wound on my foot that wouldn’t heal.”

Road to Diagnosis and Treatment

Critical Limb Ischemia (CLI)

I was treated at a wound center, but at that point my foot was turning dark and it was really painful. My surgeon did an ultrasound to check the blood flow in my legs and found significant blockage. I went through several procedures to try and restore blood flow but nothing worked. This went on for over a year.

After five procedures, I was told I would lose my foot. That was hard for me to hear. I had the amputation below the knee and went through a tough recovery period. Now I have a prosthetic leg and I can get around pretty well. I know I’ll never be 100 percent again, but I am thankful for what I can do.

Critical Limb Ischemia (CLI)

After losing my foot, I am thankful forwhat I can do.”

How Others Can Take the Step Toward Better Health

I don’t know what caused this to happen, but I would tell people to take care of their health. Watch what you eat, exercise and stop smoking. Talk to your doctor and follow their advice. Do the best you can and don’t wait to get help.

Critical Limb Ischemia (CLI)

Model for illustrative purposes only.

Not Letting Critical Limb Ischemia (CLI) Hold Him Back

Critical Limb Ischemia (CLI)

Model for illustrative purposes only.

Douglas Powers, 67

As an athlete for most of my life, I have always embodied a competitive spirit and a passion for staying healthy and fit. Not only did I experience success in my athletic pursuits, I also accomplished a lot in my sales and marketing career.

I felt on top of the world until my health began to decline rapidly about a decade ago. What used to be easy for me—exercise and simple things like walking—began to take its toll. I would experience miserable pain in my calf, which my girlfriend at the time would help to massage away. But it would come back immediately after she stopped. My foot felt tingly, heavy, and constantly in pain—pain that was so sharp and stabbing that it sent shock waves up my leg. It was as if my foot had gone to sleep and never returned to normal. And then a purple and deep red discoloration started to develop on my foot and I couldn’t move my toes. I couldn’t walk.

I couldn’t believe what was happening to me. With a last name like Powers, I always thought I could power through anything. I thought I could overcome this. I could beat it. I needed the strength at the time because it took eight procedures and two major surgeries before doctors discovered that I had Factor V, a blood clotting disorder.

I felt on top of the world until my health began to decline rapidly about a decade ago. What used to be easy for me—exercise and simple things like walking—began to take its toll.”

Road to Diagnosis and Treatment

Critical Limb Ischemia (CLI)

My disorder led to a major clot in one of my legs. After seeking a second opinion from a top cardiovascular surgeon, we tried one last surgery: an angioplasty balloon that was inserted during a vein bypass procedure. The doctor hoped the balloon would break things up, but it only led to more clots and a condition called critical limb ischemia (CLI), a serious disease that occurs when there is significant blockage in the arteries. I was on massive amounts of blood thinners at the time, but it didn’t change much: I ended up having my leg amputated.

I experienced tremendous emotions after I lost my leg. I received no support from the hospital. It was terrible psychologically, especially as I fought several infections thereafter. But I picked myself up, rebuilt my life and vowed not to let becoming an amputee ruin my future. In fact, I embraced it by becoming an amputee triathlete and mentor.

I really felt like I was on the right track until I started to notice the same symptoms in my remaining leg six months ago. It was very distinctive and I immediately had a suspicion that something was wrong. I went back into the hospital and they discovered a blood clot that dislodged from my heart and went to my leg. The doctor said that there were no viable arteries or veins below the knee and that they were going to have to amputate my other leg above the knee. Already an amputee, it was extremely discouraging to learn that I would lose my other leg. I couldn’t believe it was happening again—and worse, my condition began to deteriorate rapidly as painful ulcers developed due to lack of circulation in my foot.

A week before my scheduled procedure, I ended up in the wound care clinic and I began a friendly conversation with a doctor. She expressed her concern for my condition and recommended I see her right away to try one last procedure to save my leg. She described an IVUS procedure in which an ultrasound would be used to see directly into the blood vessel to help identify whether any viable blood supply could be restored and where. Thankfully, the doctor located an area that worked and she inserted a stent into my leg to help sustain the newly opened vessel. I showed up to her clinic the next day and about five hours after the IVUS and stent procedure, the blood flow in my leg was completely restored. And now five months later, my foot has healed and I’m back to my normal routine!

My condition began to deteriorate rapidly as painful ulcers developed due to lack of circulation in my foot.”

How Others Can Take the Step Toward Better Health

I believe in miracles–and the doctor I met was a godsend. If I hadn’t met her, I would have become a double amputee within a few days. Looking back at my experiences, I would advise others in similar situations to seek other opinions. These are complex cases and you need to find someone who has the expertise to help treat your specific condition. It is also important to find a doctor who will try all avenues before resorting to amputation.

If you do have to undergo an amputation, I would recommend seeking out a mentor, as you will need support and guidance. I feel I have helped others by mentoring them through the rough times; this in turn has helped me tremendously. And I would also recommend taking the step to embrace the new you. I did this by performing comedy, by swimming from Alcatraz to San Francisco, and cycling from San Francisco to San Diego in seven days to raise money to buy adaptive equipment for children.

This is how I overcame my “ability” as I chose not to call it a disability. Although some days I wish I had my leg back, I would not trade in the wisdom and personal growth I’ve gained from my experiences.

Model for illustrative purpose only.

Five hours after the procedure, the blood flow in my leg was completely restored and now five months later, my foot has healed and I’m back to my normal routine!”

More Patient Stories

PAD Stories

Peripheral Artery Disease (PAD)

Many PAD patients experience a gradual decline in activity level and quality of life which can go unnoticed for years. Learn about Joe’s suspicions and his perseverance to seek help.

Read Joe’s Story

DVT Stories

Deep Vein Thrombosis (DVT)

Deep vein thrombosis (DVT) can strike quickly with little notice. Learn more about Reid’s condition and his road to recovery.

Read Reid’s Story

DVD Stories

Deep Venous Disease (DVD)

Patients with deep venous disease (DVD) often go through years of suffering with worsening symptoms and other underlying conditions. Learn about Melanie’s path to uncovering an underlying condition and her road to restoring her health.

Read Melanie’s story

Helpful Resources

PVD Doctor
Discussion Guide

Get helpful tips and advice on how to talk to your doctor about a PVD screening.

Download now

CLI Brochure

Find out more information on CLI by downloading this helpful brochure.

Download now

Third-Party Resources



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Find a Doctor that Treats CLI

If you think you may have CLI, it is important to get help. Talk to your doctor, or use our Doctor Finder tool below to find a CLI specialist near you.

Within |
Paul Gagne

85 Old Kings Highway North | Darien, CT, 6820

Vasco Marques

3010 E. 138th Avenue Suite 12 | Tampa, FL, 33613

Scott Koss

725 American Ave | Waukesha, WI, 53188

Janardhan Srinivasan

2232 Wilborn Avenue | South Boston, VA, 24592

Steve Lin

1401 Harrodsburg Rd Ste A300 | Lexington, KY, 40509

Kais Yehyawi

6375 W US 6 | Portage, IN, 46368

Diego Hernandez

43700 Woodward Avenue, Suite 207 | Bloomfield Hills, MI, 48302

Deepak Sudheendra

3400 Spruce Street | Philadelphia, PA, 19104

Fuad Rafidi

23101 Sherman Place | West Hills, CA, 91307

Azher Iqbal

6337 Transit Road | Depew, NY, 14043

Buffalo Vascular Care

Thomas Kerr

19189 N Dale Mabry Hwy | Lutz, FL, 33548

Hesham Fakhri

3010 E. 138th Avenue Suite 12 | Tampa, FL, 33613

Aaron Hurd

630 13th Street Suite 250 | Augusta, GA, 30901

Sunil Rayan

9850 Genesee Ave | La Jolla, CA, 92037

David Lipski

6420 Dutchmans Pkwy Suite 180 | Louisville, KY, 40205

Rias Ali

4740 Mile Stretch Drive | Holiday, FL, 34690

Jed Peterson

10123 SE Market Street | Portland, OR, 97216

Constantino Pena

8900 North Kendall Drive | Miami, FL, 33176

Zahi Nassoura

2710 Alameda Ave | Burbank, CA, 91505

Bret Wiechmann

6685 NW 9th Blvd | Gainesville, Florida, 32605

Vascular & Interventional Physicians

Nader Chadda

6633 Forest Ave Ste 302 | New Port Richey, FL, 34653

Richard Ofstein

8075 N Shadeland Ave Ste 200 | Indianapolis, IN, 46037

Robert Davies

1301 Sigman Road, NE Suite 130 | Conyers, GA, 30012

Elizabeth Brooke Spencer, MD, FSIR

8200 east Belleview ave Suite 600 E | Greenwood Village, CO, 80111

Mazen Abu-Fadel

825 NE 10th St #2500 | Oklahoma City, OK, 73104

David Frankel

10666 N. Torrey Pines Rd. | La Jolla, CA, 92037

Patricia Thorpe

333 W Thomas Rd, Suite 207A | Phoenix, AZ, 85013

Peder Horner

1746 Cole Boulevard | Lakewood, CO, 80401

Fuad Rafidi

2710 | Burbank, CA, 91505

Ashish Gupta

S 1222 Orange Ave | Orlando, FL, 32806

Orlando Health Heart Institute

Gene Tanquilut

20060 Governors Drive Suite 102 | Olympia Fields, IL, 60461

Kannan Natarajan

8433 Harcourt Rd. Suite 100 | Indianapolis, IN, 46260

Charles Ross

95 Collier Road NW Suite 5015 | Atlanta, GA, 30309

Windsor Ting

1468 Madison Avenue or 1190 Fifth Avenue | New York, NY, 10029

Dev Mangalat

705 Jesse Jewell Parkway 125 | Gainseville, GA, 30501

Arun Jagannathan

23120 South LaGrange Road | Frankfort, IL, 60423

Michael Flisak

3231 South Euclid Avenue, Suite 207A | Berwyn, IL, 60402

Shahin Pourrabbani

3680 Imperial Highway | Lynwood, CA, 90262

Joe Viramontes, MD

960 N 16th Street | Springfield, OR, 97477

Mohamed Sheta

3709 Magnolia Street | Orangeburg, SC

Dialysis Access Institute

Blaine Borders

102 Thomas Rd. Suite 205 | West Monroe, LA, 71291

Pat Neville

4600 Memorial Dr. Suite 240 | Belleville, IL, 62226

Charles Wyble

61 Witcher Street, Suite 2100 | Marietta, GA, 30060

David Gillespie

363 Highland Ave | Fall River, MA, 2720

Polly Kokinos

2255 S. Bascom Avenue #200 | Campbell, CA, 95008

Howard Roth

23120 South LaGrange Road | Frankfort, IL, 60423

Anthony Avino, MD, FACS

4750 Water Avenue, Suite 500 | Savannah, GA, 31410

Murat Sor

3833 Fairfax Drive | Arlingston, VA, 22205

Mahesh Raju

3825 highland ave | downers Grove, IL, 60515

Kishor Vora

1200 Breckenridge Street | Owensboro, KY, 42303

Owensboro Heart & Vascular

Kenneth Wright

19189 N Dale Mabry Hwy | Lutz, FL, 33548

Rick Coats

4600 Memorial Dr # 240 | Belleville, IL, 62260

Sendhil Subramanian

7130 Mt. Zion Blvd, Suite #10 | Jonesboro, GA, 30236

Richard Pin

363 Highland Ave | Fall River, MA, 2720

James McPherson

4644 Lincoln Blvd. Suite 500 | Marina del Rey, CA, 90292

Ben Marson

85 Old Kings Highway N, 1st Floor | Darien, CT, 6820

E. Jerry Cohn Jr., MD, FACS

4750 Water Avenue, Suite 500 | Savannah, GA, 31410

George Hemstreet

100 Rice Mine Road Loop | Tuscaloosa, AL, 35406

Harold Tabaie

18905 Sherman Way | Reseda, CA, 91335

Ali Raza M.D.

2100 1st Avenue South | St. Petersburg, FL, 33712

Gateway Radiology

Alberto Gonzalez

19189 N Dale Mabry Hwy | Lutz, FL, 33548

Ayaz Malik

1035 Bellevue Ave #500 | St. Louis, MO, 63117

Isabel Newton

200 W Arbor Dr. | San Diego, CA, 92103

Michael Ayad

363 Highland Avenue | Fall River, MA, 2720

Jozsef Lukacs

24800 S.E. Stark St. | Gresham, OR, 97030

Timothy Manoni

85 Old Kings Highway N, 1st Floor | Darien, CT, 6820

Larry Horesh, MD

4750 Water Avenue, Suite 500 | Savannah, GA, 31410

Amiel Moshfegh

11411 Brookshire Ave | Downey, CA, 90241

Lev Pukin M.D

2560 Ocean Ave | Brooklyn, NY, 11229

Gagandeep Mangat M.D

2100 1st Avenue South | St. Petersburg, FL, 33712

Gateway Radiology

Parag Patel

6633 Forest Ave #300 | New Port Richey, FL, 34653

Hoang Nguyen

2 Good Samaritan Way Suite 220 | Mt. Vernon, IL, 62864

(Charles) Daniel Procter

725 Jesse Jewell Parkway #125 | Gainesville, GA, 30501

Michael Naumann

7777 Alvarado Road, Suite 108 | La Mesa, CA, 91942

Stephen Lalka

1001 Blythe Blvd., Suite 300 | Charlotte, NC, 28203

Taras Kucher

495 Hawley Lane, Suite 2-A | Stratford, CT, 6614

Junyang Lou

520 Medical Center Drive | Medford, OR, 97504

Michael Lepore

600 North Cattlemen Rd | Sarasota, FL, 34232

Junyang Lou

455 Toll Gate Rd | Warwick, RI, 02886

Brigham and Women's Cardiovascular Associates at Care New England

Ratan Ahuja

759 Harley Strickland Blvd | Orange City, FL, 32763

Florida Cardiopulmonary Center

Robert Freedman

3311 Prescott Road | Alexandria, LA, 71301

Daniel Simon

347 Mount Pleasant Ave Suite 100 | West Orange, NJ, 7052

Daniel McDevitt

1035 Southcrest Dr, Suite 250 | Stockbridge, GA, 30281

Marvin Padnick

350 South 40th Street | Muskogee, OK, 74401

Patrick Mahon

87 McGregor Street | Manchester, NH, 3102

Jamie Strachan

1449 Old Waterbury Rd, Suite 101 | Southbury, CT, 6488

Aaron Aday

75 Francis St | Boston, MA, 02115

Russell Samson

600 North Cattlemen Rd | Sarasota, FL, 34232

Jinok Chung

721 George Nigh Express Way | McAlester, OK, 74501

Oklahoma Heart Hospital

Mohammad Ali Saeed

16701 Creek Bend Dr | Sugar Land, TX, 77478

Advanced Vascular & Interventional Center

Raghotham Patlola

5003 Hardy St, Ste 200 | Hattiesburg, MS, 39402

Bruce Brenner

200 S. Orange Ave | Livingston, NJ, 7052

Ernest Conti

3929 Mercy Drive | McHenry, IL, 60050

Sanjeev Trehan

6151 South Yale Ave Suite 1304 | Tulsa, OK, 74136

Tara Balint

2010 Health Campus Drive | Harrisonburg, VA, 22801

Stephen Bauer

1445 East Putman Ave, 1st Floor | Old Greenwich, CT, 6870

Deepak Nair

600 N Cattlemen Rd | Sarasota, FL, 34232

David Showalter

600 North Cattlemen Rd | Sarasota, Florida, 34232

Madaiah Revana

9950 Memorial Blvd., Suite 201 | Humble, TX, 77338

Northeast Houston Vein Center

Madaiah Revana

9950 Memorial Blvd | Humble, TX, 77338

Andrew Olinde

5131 O'Donovan Drive 301 | Baton Rouge, LA, 70808

Allison Barone

250 Engle Street | Englewood, NJ, 7631

Thomas Lutz

15 Tower Ct Suite 200 | Gurnee, IL, 60031

Mark Iafrati

800 Washington st | Boston, MA, 2111

Jerry Chen

2775 Laurel Street, Room 4203 | Vancouver, BC, V5Z1M9

Jonathan Bowman

495 Hawley Lane, Suite 2-A | Stratford, CT, 6614

Paul Vitulli

915 W Monroe St | Jacksonville, FL, 32004

Douglas Dorsay

600 North Cattlemen Rd | Sarasota, Florida, 34232

Jihad Mustapha

1525 E. Beltline NE, Ste. 101 | Grand Rapids, MI, 49525

Advanced Cardiac & Vascular Centers for Amputation Prevention

Marcus Smith

3200 Quail Springs Parkway | Oklahoma City, OK, 73134

Cardiovascular Health Clinic

Carl Fastabend

501 Dr. Michael DeBakey Drive (3rd Floor) | Lake Charles, LA, 70601

Thomas Lee

131 Madison Avenue 2nd Floor | Morristown, NJ, 7960

Peter Swischuk

3109 Stirling rd. Suite 100 | Fort Lauderdale, FL, 33312

David Draughn, FACS, RVT, RPVI

15825 John J Delaney Dr | Charlotte, NC, 28277

Joe Viramontes

960 N 16th Street Suite 108 | Springfield, OR, 97477

Michael Sergi

75 Kings highway Cutoff, Suite 4B | Fairfield, CT, 6824

Manish Chauhan

2200 Park bend | Austin, TX, 78757

James Cunningham

8767 Perimeter Park Blvd | Jacksonville, FL, 32216

Fadi Saab

1525 E. Beltline NE, Ste. 101 | Grand Rapids, MI

Advanced Cardiac & Vascular Centers for Amputation Prevention

William Davis

322 Shirley Avenue | Douglas, GA, 31533

Douglas Vascular Center

Nouri Al-Khaled

4400 W 95th Street, Suite 306 | Oak Lawn, IL, 60453

Cindy Sturt

200 S. Orange Ave | Livingston, NJ, 7039

Jesus Jimenez

2800 S Seacrest Dr. Suite 200 | Boyton Beach, FL, 33435

Andrei Pop

800 Biesterfield Road | Elk Grove Village, IL, 60007

Ediberto Soto-Cora

1139 Caper Rd | El Paso, TX, 79925

Kaveh Shahmohammadi

1449 Old Waterbury Rd, Suite 101 | Southbury, CT, 6488

Lori Pounds

7703 Floyd Curl Drive | SanAntonio, Texas, 78229

Alex Caballero

1879 Nightinglae Ln | Tavares , Florida, 32778

Sachin Jain

944 N Broadway #106 | Yonkers, NY

Jain Medical PC

Sreekumar Madassery

1725 W Harrison St. | Chicago, IL, 60612

Chicago Vascular & Vein Institute at Rush University Medical Center

Thomas Levin

10837 South Cicero Avenue Suite 200 | Oak Lawn, IL, 60453

Leandro Perez

8188 Jog Rd. Suite 100 | Boyton Beach, FL, 33427

Jose Almeida

1501 S Miami Ave. | Miami Beach, FL, 33129

Saba Khan

800 Biesterfield Road | Elk Grove Village, IL, 60007

Jordan Knepper

5325 Elliot Drive, Suite 101 | Ypsilanti, MI, 48197

Jason Andre

12720 McManus Blvd, Suite 303 | Newport News, VA, 23602

Micheal Ayad

300A Faunce Corner Rd N | Darthmouth, MA, 02908

Yazan Khatib

Suite #160, FL, 32256

Rajesh Sharma

905 W 124th Avenue | Westminster, Colorado

Advanced Heart and Vein Center

Divyang Ayar

8619 Broadway Street | Pearland, TX, 77584

Coastal Vascular

Santhosh Mathews

316 Manatee Ave W | Bradenton, FL, 34205

Patricio Rosa

601 N Flamingo Rd. Suite 408 | Pembroke Pines, FL, 33028

Akhilesh Sista

2315 Broadway 4th floor | New York, NY, 10024

Kathleen Gibson

1135 116th Avenue NE, Suite 305 | Bellevue, WA, 98004

James Sampson

101 Bodin Circle 60 SGCS/SGCH | Travis AFB, CA, 94535

Brian Heeringa

880 Munson Ave, Suite A | Traverse City, MI, 49686

Ravi Chandra

1920 SW 20th Place | Ocala, Florida, 34471

Vaqar Ali

7011 AC Skinner Parkway | Jacksonville, FL, 32256

James Burks

16917 Enadia Way | Van Nuys, CA, 91406

Valley Vascular Associates

Mohammad Saeed

9701 Richmond Ave | Houston, TX, 77479

Advanced Vascular & Interventional Center

David Burkart

4801 College Blvd | Leawood, KS, 66214

Asad Sawar

3010 E. 138th Avenue Suite 12 | Tampa, FL, 33613

Andrew Barleben

9434 Medical Center Dr. | La Jolla, CA, 92037

Gennady Geskin

6637 State Route 30 | Jeannette, PA, 15644

William Grande

8200 east Belleview Ave Suite 600e | Greenwood Village, CO, 80111

Jeffrey Carr

1783 Troup Highway | Tyler, TX, 75701

Vincent Digiovanni

Riddle Health Center 3, 1098 W Baltimore Pike, Suite 3308 | Media, PA, 19063

Ido Weinberg

55 Fruit St | Boston, MA, 02114

Dale Buchbinder

1212 York Road | Lutherville, MD, 31093

Aaron Kovaleski

11920 Lioness Way | Parker, CO, 80134

Minimally Invasive Procedure Specialists

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The opinions and clinical experiences presented herein are for informational purposes only. Individual results may vary depending on a variety of patient specific attributes and related factors. Dr. Raghu Kolluri has been compensated by Philips for his services in preparing and providing this material for Philips further use and distribution. The patients featured on this page are not patients of Dr. Kolluri.

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