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When does PAD lead to amputation?

People with peripheral arterial disease are usually offered amputation in the event of what is commonly described “unreconstructable’ critical limb ischaemia (‘CLI’).

Leg pain while walking and that is frequently intolerable can be common with CLI. Intense discomfort from CLI can last from minutes to hours, and often happens at night.

Amputation can become the only option when ischaemic rest pain and/or tissue loss following ulceration or gangrene or some other form of associated infection can no longer be controlled by medical treatment and treating clinicians have deemed that the blood supply to the leg cannot be restored by surgery.

In a minority of people, amputation has to be undertaken as emergency, usually because of fast spreading infection.


The avoidance of amputation inevitably depends crucially upon prompt diagnosis of PAD and referral to a specialist vascular unit that is able to offer the full range of available investigation and treatment.

Preventing the development of advance PAD thereafter, of which CLI is the most extreme form, requires skill and care.

How we can help

Our team of specialist amputation lawyers are here to help if you or your loved one has been affected by amputation because of ischaemia or PAD leading to CLI. We can help you get the answers you need if you think that something might have gone wrong.

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