What is lower extremity revascularization?

Lower extremity revascularization is a vital surgical procedure aimed at addressing vascular diseases that hinder blood supply to the legs and feet. Conditions such as peripheral artery disease (PAD) can lead to reduced blood flow, causing pain, numbness, and, in severe cases, limb-threatening complications. Surgical Associates, with its team of experienced vascular surgeons, specializes in providing effective solutions through lower extremity revascularization.

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Restoring Blood Flow to Prevent Vascular Complications

When blood vessels in the lower extremities are obstructed due to conditions like atherosclerosis, the need for revascularization arises. This procedure aims to open or bypass blocked arteries, restoring proper blood flow and preventing the progression of vascular disease. Revascularization not only alleviates symptoms but also reduces the risk of complications such as non-healing wounds and amputations.

Benefits of lower extremity revascularization

The advantages of opting for lower extremity revascularization are multifaceted. It not only relieves pain associated with impaired blood flow but also promotes wound healing, reduces the risk of infections, and enhances overall limb function. The specialized nature of this procedure ensures a tailored approach, addressing the unique vascular challenges of each patient.

Revascularization Methods

Several methods are employed in lower extremity revascularization, each catering to the specific needs of the patient. Often used in combination with one another, these methods are chosen depending on the situation and the unique needs of the patient. Common approaches include:


A minimally invasive procedure involves the insertion of a balloon to widen narrowed arteries, often followed by placing a stent to maintain the vessel's patency.

Bypass Surgery

A surgical technique that involves creating a graft to bypass the blocked segment of the artery, restoring blood flow to the lower extremities. The graft material can be sourced from the patient's own vein, artificial material, or material from a cadaver.


In this procedure, a stent is placed to keep an artery open, allowing blood to flow through it.


Atherectomy is a procedure in which a catheter with a sharp blade or laser is used to scrape away or dissolve plaque from a blocked artery. 

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When is lower extremity revascularization needed?

Lower extremity revascularization is typically needed when there is significant blockage in the arteries that supply blood to the legs and feet. This condition is often caused by peripheral artery disease (PAD), a common circulatory problem in which narrowed arteries reduce blood flow to these extremities. Some of the symptoms that might indicate the need for lower extremity revascularization include:

  • Intermittent claudication: This is pain or discomfort in the muscles that occurs during walking or exercising and subsides after a few minutes of rest, typically indicating reduced blood flow to the affected muscles.
  • Critical limb ischemia: This is a more serious condition characterized by chronic pain, even at rest or during the night, non-healing sores or wounds on the feet or legs, and gangrene (tissue death due to lack of blood).

Revascularization is often recommended when these symptoms become severe, limit everyday activities, or if there is a risk of losing the limb. The goal of the procedure is to restore adequate blood flow, thereby relieving pain, promoting wound healing, and preventing limb loss.

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Procedure insights: A closer look

The lower extremity revascularization procedure typically involves a comprehensive series of steps:

Patient Assessment

Our vascular surgeons conduct a thorough examination, utilizing imaging techniques to assess the extent of vascular blockages and determine the most suitable approach.

Surgical Intervention

In the operating room, the surgeon addresses the vascular blockages using the selected method, whether angioplasty, stenting, or bypass surgery.

Preparation and post-operative care

Patients undergoing lower extremity revascularization receive detailed preparation guidelines, including lifestyle adjustments and medications. Postoperatively, meticulous care involves monitoring for any signs of complications, ensuring optimal wound healing, and gradually resuming normal activities.

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Why choose Surgical Associates?

Surgical Associates, with over three decades of dedicated service, stands as a beacon of excellence in vascular surgery. Our highly skilled surgeons, specializing in various fields, including vascular, hernia, thyroid, and trauma surgeries, bring a wealth of expertise to ensure the best possible outcomes. As an AAAHC-accredited practice, we uphold stringent quality standards, prioritizing patient safety, satisfaction, and personalized care. When it comes to lower extremity revascularization in Wausau, trust the experts at Surgical Associates for a compassionate and effective approach to vascular health.

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