Ep. 418 Acute Limb Ischemia: Timing, Technology, and Triage with Dr. Charles Bailey

BackTable Vascular & Interventional

In this episode, host Dr. Sabeen Dhand interviews Dr. Charles Bailey about Limb Alert, a hospital protocol devised to expedite the diagnosis and treatment of patients presenting with acute limb ischemia. Dr. Bailey is a vascular surgeon and the Director of Peripheral Artery Disease (PAD) and Limb Salvage at the University of South Florida.

Dr. Bailey explains how the Limb Alert program standardizes the care pathway, rapidly alerts necessary personnel, initiates labs, and prepares the Penumbra Lightning Bolt 7 System for endovascular thrombectomy. The incorporated protocol significantly streamlines patient management, resulting in encouraging survival rates. Dr. Bailey further emphasizes the necessity for modern endovascular trials in acute limb ischemia and proposes a multicenter randomized trial to provide evidence for endovascular treatment.

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SHOW NOTES

00:00 - Introduction

02:43 - Dr. Bailey’s Journey to Florida and His Practice

06:43 - Importance of Timely Intervention in Acute Limb Ischemia

21:29 - Role of Debulking in Acute Limb Ischemia

28:20 - Tips and Tricks for Successful Outcomes

31:17 - Impact of the Limb Alert Program

41:19 - Future of Acute Limb Ischemia Treatment

47:40 - The Need for New Randomized Trials

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RESOURCES

Acute Limb Ischemia: An Update on Diagnosis and Management:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723825/

Safety and efficacy of mechanical aspiration thrombectomy at 30 days for patients with lower extremity acute limb ischemia - STRIDE Study:

https://www.jvascsurg.org/article/S0741-5214(23)02196-1/fulltext