• 0317-4123373
  • Bahria University Road D2 Johar Town Lahore, Pakistan
  • Working Hour: Monday To Tuesday 04PM – 06PM
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Chronic Limb-Threatening Ischemia

Advanced CLTI Care in Pakistan

Find expert care for Chronic Limb-Threatening Ischemia. Our advanced treatments focus on preserving limbs, restoring blood flow, and improving your quality of life.

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About Chronic Limb-Threatening Ischemia (CLTI)

Chronic Limb-Threatening Ischemia (CLTI) is the most severe form of Peripheral Artery Disease (PAD). It occurs when there is a significant blockage in the arteries of the lower limbs, drastically reducing blood flow. This condition can lead to severe pain, non-healing wounds, and, if left untreated, may require amputation. Timely diagnosis and intervention are critical to saving limbs and improving patient outcomes.

Expert Diagnosis and Management

For making a good treatment plan, it’s very important to get the right diagnosis.  Our leading vascular specialists in Pakistan utilize advanced diagnostic tools to assess your condition thoroughly.

Diagnosis

  • Ankle-Brachial Index (ABI): A simple, non-invasive test that compares blood pressure in your ankle to the pressure in your arm to assess blood flow.
  • Duplex Ultrasound:Uses sound waves to visualize blood flow and identify blockages within the arteries.
  • CT Angiography (CTA): An advanced imaging test that uses X-rays and a contrast dye to create detailed images of the blood vessels.

Causes

CLTI is primarily caused by atherosclerosis, a condition where plaque builds up inside the arteries, narrowing and hardening them. Key risk factors that contribute to this condition include:

  • Diabetes
  • Smoking
  • High blood pressure
  • High cholesterol
  • Advanced age
  • A history of vascular disease

Signs and Symptoms

Recognizing the symptoms of CLTI is the first step toward effective treatment. Key indicators include

1

Rest Pain:

  • Persistent, severe pain in the feet or toes, especially while resting or at night.

2

Non-Healing Wounds:

  • Sores, ulcers, or infections on the legs or feet that do not heal for more than two weeks.

3

Gangrene:

  • The death of body tissue, often appearing as black, discolored skin on the limbs.

4

Numbness or Tingling:

  •  A sensation of pins and needles or loss of feeling in the feet.

5

Noticeable Coldness:

  •  One leg or foot feeling significantly colder than the other.

Advanced Treatment
Options

Our clinic offers a range of cutting-edge treatments tailored to each patient’s unique needs, focusing on minimally invasive techniques to restore blood flow and promote healing.

1

Endovascular Therapy:

  •  Minimally invasive procedures such as angioplasty and stenting are used to open blocked arteries from the inside, restoring circulation with less pain and a shorter recovery time.

2

Bypass Surgery:

  • or extensive blockages, a vascular surgeon can create a new pathway for blood flow using a graft, bypassing the damaged section of the artery.

3

Wound Care Management:

  • Our comprehensive approach includes specialized wound care to treat ulcers and prevent infection, promoting faster healing and limb preservation.

Identifying and Guidance

Identifying Patients with CLTI

  • CLTI should be suspected in any patient presenting with rest pain, non-healing wounds, or gangrene, particularly if they have risk factors like diabetes or a history of smoking. A prompt evaluation by a vascular specialist is essential.

Referral Guidance for Physicians

  • Primary care physicians should refer patients for a specialist vascular assessment if they exhibit hallmark signs of CLTI. Early referral to a vascular surgery hospital or PAD clinic can significantly improve the chances of limb salvage and prevent amputation.

Frequently Ask Question

Our facility is staffed by expert vascular surgeons specializing in complex limb-saving procedures. We utilize the latest diagnostic and treatment technologies to provide personalized care, making us one of the leading vascular surgery hospitals in Pakistan.

The prognosis depends on the severity of the disease and the timeliness of treatment. With early intervention and advanced care, many patients can avoid amputation, experience significant pain relief, and regain mobility.

You can be referred by your general practitioner or another specialist. Patients can also contact our clinic directly to schedule an initial consultation with one of our vascular surgeons.