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

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. --- CHECK OUT OUR SPONSOR Penumbra Lightning Flash https://www.penumbrainc.com/products/lightning-flash/ --- 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 --- 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