Arkansas Amputation Prevention Center

The Arkansas Amputation Prevention Center is a comprehensive program involving endovascular surgery, vascular surgery, general surgery, infectious disease, podiatry, wound-care providers, orthopedists, and emergency room staff. With a team of more than 16 physicians and healthcare providers we take a team approach to treat peripheral arterial disease (PAD) and critical limb ischemia (CLI) in order to prevent amputation.

WHAT ARE PAD & CLI

Peripheral arterial disease (PAD) – also known as peripheral vascular disease, atherosclerosis or hardening of the arteries – is a disorder that occurs in the arteries of the circulatory system. Arteries are the blood vessels that carry oxygen and nutrient-rich blood from the heart to all areas of the body. PAD occurs in the arteries that carry blood to the arms and legs. Healthy arteries have a smooth lining that prevents blood from clotting and promotes steady blood flow. In PAD, the arteries slowly become narrowed or blocked when plaque gradually forms inside the artery walls. One of the most devastating consequences of PAD is critical limb ischemia (CLI), a severe blockage of the arteries that reduces blood flow to the extremities. CLI results in severe pain, skin ulcers, and, if left untreated gangrene. Unfortunately, the first line of treatment is often amputation. However, it is important that the physician conducts a vascular workup beforehand to ensure they have exhausted all options before amputation.

Healthy arteries have a smooth lining that prevents blood from clotting and promotes steady blood flow. In PAD, the arteries slowly become narrowed or blocked when plaque gradually forms inside the artery walls.

One of the most devastating consequences of PAD is critical limb ischemia (CLI), a severe blockage of the arteries that reduces blood flow to the extremities. CLI results in severe pain, skin ulcers, and, if left untreated gangrene. Unfortunately, the first line of treatment is often amputation. However, it is important that the physician conducts a vascular workup beforehand to ensure they have exhausted all options before amputation.

SYMPTOMS

  • A burning or aching pain in the feet and toes while resting, especially at night while lying flat 
  • Cool skin in the feet 
  • Redness or other color changes of the skin 
  • Increased occurrence of infection 
  • Toe and foot sores that do not heal 
  • Many people with PAD do not have any symptoms

HOW CAN WE HELP?

The Arkansas Amputation Prevention Center is a multidisciplinary program created to diagnose and treat arterial vascular disease and prevent amputation. We do this by restoring blood flow to non-healing wounds. 90% of patients referred to our program (that were previously scheduled for amputation) were able to prevent amputation. Amputations are often performed before additional tests are completed. If amputation is suggested, talk to your healthcare provider about other options and request a second opinion from a PAD specialist before committing to amputation.

Amputations are often performed before additional tests are completed. If amputation is suggested, talk to your healthcare provider about other options and request a second opinion from a PAD specialist before committing to amputation.

THINGS TO CONSIDER

  • Total life expectancy post amputation
  • Healthcare costs related to amputation 
  • Quality of life post amputation 
 If you have questions or concerns about a potential amputation, please call (501) 574-7283.

WHEN TO CALL?

  • Limb at risk from infection 
  • Soft-tissue compromise related to trauma, tumor reconstruction or peripheral vascular disease 
  • Bone loss

KNOW THE FACTS

  • 160,000 amputations occur every year in the US — that’s one amputation every three minutes.
  • The chance of living two years after an amputation is only 50%. 
  • The chance of living four years after an amputation is only 20%. 
  • More than 50% of amputations occur without even an ankle-brachial index check of the legs.
Dr. Harrison is one of only a few physicians in the world trained in Amputation Prevention using a complex approach to open closed vessels to the feet under ultrasound.



For more information about Arkansas Amputation Prevention Center, please fill out the form below.

 
 
 
  

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