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Metro Health

StAMP – Amputation Prevention Program

Frequently Asked Questions & StAMP Education

How is PAD related to amputation?

  • In a recent study, it was found that 71% of patients who had an amputation didn’t have any diagnostic testing done prior to the amputation.
  • One out of every 200 people in the US has had an amputation due to Critical Limb Ischemia (CLI).
  • Diabetes is a strong predictor of PAD and is associated with increased amputation risk.
  • More than 60% of lower limb amputations occur in people with diabetes.
  • 86% of adults are unaware that PAD can lead to amputation.

Do you have symptoms of Peripheral Artery Disease?

Signs & Symptoms of PAD:

  • Leg pain/cramping at rest or with exercise
  • Loss of pulses in feet
  • Loss of hair growth on legs and feet
  • Cold feet
  • Discolored skin on feet and/or legs
  • Wounds (cuts or scratches) that do not heal.

Arteries & Veins: What’s the Difference?

Arteries are vessels that carry oxygenated blood through your computer. Veins carry blood back to the heart once the oxygen has been released to the body. Both types of vessels can become diseased and can effect your overall health. The symptoms for artery disease and venous diseases are much alike.

  • A test called an ABI is done to check for arterial disease. An ABI does not check for venous disease.
  • Your doctor can check for venous disease by simple a simple exam that views the veins in your legs.

If you had a normal ABI test, you may still have problems in the veins of your legs. Please read the patient education materials included in this packet. If you have any questions, we encourage you to talk with your primary care physician and discuss your symptoms.

At Metro Heart & Vascular, we treat both venous and arterial disease and we would like to help you with your circulation problems. If you think you have either venous or arterial disease, you can set up an appointment in our office. Please note that you may need a referral from your primary care physician, depending on your insurance. If you have any questions, please talk to your insurance provider or call our office at (616) 252-5950.

Additional Information on PAD & PVD, click to download:

Arteries & Veins: What’s the Difference?

A Patient’s Guide to Peripheral Artery Disease (PAD)

A Patient’s Guide to Endovenous Radio Frequency Therapy for Varicose Veins

What is an Angiogram?

An angiogram is a diagnostic procedure in which a needle is used to help introduce a small tube (catheter) in the artery (usually the femoral artery). The puncture site is very small, but because of the location you will have to lay flat for a couple of hours.

We can shoot dye or contrast under a flouroscopy (x-ray) machine which allows use to see the vessel and if there are any blockages. This will help to give the physician a plan on how best to treat you.

What is an ABI test?

An ABI test is an Ankle Brachial Index test:

  • This test consists of applying blood pressure cuffs to the arms and legs and measuring the blood pressure in those limbs.
  • A calculation is then determined from those readings and that measurement can determine if you have decreased blood flow to your limbs.
  • This test can be a good way to help diagnose PAD.

Treatment for PAD:

  • Endovascular Interventions
    • Treats the disease from inside the artery
    • Minimally Invasive
  • Bypass Surgery
    • Long Incision
    • Uses a graft to bypass the blockage
  • Medical Management
    • Walking programs
    • Cholesterol medications
    • Anticoagulants
    • Amputation should be considered only as the very last resort and never without a diagnostic and angiogram

Economics of Amputation:

  • Amputations are more expensive than the other treatment plans for PAD.
  • The long term consequences of amputation are far more devastating to a patient’s overall health and well-being
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