What the Latest Research Says About Amputation Risk and How Vascular Care Is Changing Outcomes
Recent national and international studies examining lower-extremity amputations reveal a complex pattern: while major amputations declined for years, certain populations are now experiencing new increases, particularly those with diabetes, PAD, kidney disease, and limited access to specialty care.
Research consistently shows that patients who reach advanced stages of PAD without vascular intervention are far more likely to lose a limb — yet many were never referred to a vascular specialist before that point.
The studies also highlight something critical: healthcare system factors matter. Facilities with early PAD screening, prompt imaging, and endovascular treatment pathways report significantly lower amputation rates.
This is where experience matters.
Minimally Invasive Treatment for PAD
With over three decades in interventional vascular medicine, Dr. William Julien has witnessed every stage of PAD — from early symptoms to critical limb-threatening ischemia. His approach focuses on restoring blood flow before tissue loss becomes irreversible, using advanced catheter-based therapies performed through a tiny puncture, not surgery.
Even when patients arrive after being told “there’s nothing left to do,” Dr. Julien has repeatedly restored circulation and saved limbs when hope seemed lost.
Help with health insurance
Importantly, Medicare and most insurance plans cover PAD evaluation and treatment, making advanced care accessible when patients seek help early.
Prevention is key to avoid amputation
The data is clear: amputation risk drops dramatically when PAD is identified and treated in time. The challenge is not technology it is awareness and access.
Contact Us
At South Florida Vascular Associates, Dr. William Julien has over 30 years of experience treating and helping people with Peripheral Artery Disease to find relief.
Article Reference
A population health analysis of trends in lower extremity amputation secondary to diabetes and peripheral artery disease, 2016-2023. Margaret Reilly, MD. Diabetes Resource and Clinical Practice. Volume 230, December 2025.
Dr. William Julien, MD, is a nationally recognized, board-certified vascular interventional physician and President of South Florida Vascular Associates, known for advancing minimally invasive, outpatient vascular care. Trained at top institutions and fellowship-trained in interventional radiology, he brings deep expertise to the treatment of complex conditions including abdominal aortic aneurysm, PAD, BPH, uterine fibroids, and venous disease. A former chief and director of interventional radiology for multi-hospital systems, Dr. Julien is actively involved in device trials, national endovascular education, and leadership within major professional societies. He also pioneered one of the nation’s first advanced outpatient endovascular surgery suites, reinforcing his role as an innovator shaping the future of vascular intervention.
