Benefits of the Endovascular Approach
- Less invasive than open surgery
- Faster recovery and shorter hospital stays
- Suitable for high-risk patients who cannot undergo major surgery
- Repeatable if new blockages occur
When blood flow to the legs and feet is severely reduced, the risk of ulcers, infections, and amputation increases dramatically. But amputation is not always the only option. Today, advanced endovascular treatments offer new possibilities for restoring circulation and preserving limbs—even in complex cases.

Conditions like Peripheral Artery Disease (PAD), Chronic Limb-Threatening Ischemia (CLTI), and diabetic foot complications can lead to severe tissue damage if left untreated. Without proper blood flow:
- Wounds do not heal
- Infections spread quickly
- The risk of amputation rises
Timely intervention can make the difference between losing a limb and saving it.
Endovascular treatment is a minimally invasive approach to reopen blocked or narrowed arteries. Instead of traditional open surgery, these procedures are performed through small punctures, using advanced imaging to guide tiny instruments inside the blood vessels.
Common techniques include:
These methods aim to restore blood flow, promote healing, and reduce the risk of amputation.
Endovascular procedures are often recommended for patients with:
If you have been told that amputation is your only option, a second opinion may reveal alternatives.
Dr. Mariano Palena is a globally recognized interventional radiologist specializing in complex endovascular procedures. He works with leading medical centers in Italy, Spain, and Bulgaria, offering advanced solutions for patients facing the risk of limb loss.
His approach is based on:

Amputation should always be the last resort. Whenever possible, restoring blood flow can give patients a chance to heal, maintain mobility, and improve quality of life. While not every case can be resolved without surgery, advanced endovascular techniques have changed what is possible.
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