Chronic Limb-Threatening Ischemia (CLTI) is the most severe form of peripheral arterial disease (PAD). It cuts off blood flow to the lower leg and foot, resulting in severe leg pain, wounds that won’t heal and, ultimately, amputation.
If your doctor has suggested amputation of your foot or lower leg to resolve non-healing wounds and pain, the PROMISE III study may offer you a treatment option.
About the Trial
The PROMISE III Trial is studying whether an investigational, minimally-invasive medical procedure that avoids major surgery can prevent foot or lower leg amputation and promote wound healing.
People with the following criteria may qualify to participate in the study:
- Adult patient
- May or may not have been diagnosed with Chronic Limb-Threatening Ischemia
- Severe leg pain, even when at rest
- Foot ulcers that are not healing
- Doctor’s recommendation to consider amputation of the foot or leg
- Not eligible for further conventional endovascular or surgical treatments to resolve artery blockage or CLTI
Participating Centers
Physician | Site Name | Site Location |
---|---|---|
Antonio Covarrubias | Hoag Health Center Irvine | Irvine, CA |
Hoag Hospital Newport Beach | Newport Beach, CA | |
Ann Gaffey | University of California - San Diego | San Diego, CA |
Miguel Manzur | USC Arcadia Hospital | Arcadia, CA |
USC Verdugo Hills Hospital | Glendale, CA | |
Keck Hospital of USC | Los Angeles, CA | |
Huntington Memorial Hospital | Pasadena, CA | |
Michael Conte | UCSF Medical Center | San Francisco, CA |
Shant Vartanian | UCSF Medical Center | San Francisco, CA |
Mina Boutrous | UConn John Dempsey Hospital | Farmington, CT |
Edouard Aboian | Yale New Haven Hospital | New Haven, CT |
Cassius Iyad Ochoa Chaar | Yale University | New Haven, CT |
Steven Abramowitz | MedStar Washington Hospital Center | Washington, DC |
Kyle Reynolds | MedStar Washington Hospital Center | Washington, DC |
MedStar Georgetown University Hospital | Washington, DC | |
Arthur Lee | The Cardiac and Vascular Institute | Gainesville, FL |
Benjamin Jacobs | University of Florida | Gainesville, FL |
Andres Vargas | Tallahassee Memorial HealthCare | Tallahassee, FL |
Eric Scott | Iowa Methodist Medical Center | Des Moines, IA |
Mark Keldahl | Advocate Illinois Masonic Medical Center | Chicago, IL |
Sreekumar Madassery | Rush University Medical Center | Chicago, IL |
Lars Stangenberg | Beth Israel Deaconess Medical Center | Boston, MA |
Alik Farber | Boston Medical Center | Boston, MA |
Anahita Dua | Massachusetts General Hospital | Boston, MA |
Douglas Jones | University of Massachusetts Chan Medical School | Worcester, MA |
Christopher Abularrage | The Johns Hopkins Hospital | Baltimore, MD |
Kyle Reynolds | MedStar Montgomery Medical Center | Olney, MD |
Tamer Boules | Henry Ford Hospital Detroit | Deroit, MI |
Henry Ford Hospital West Bloomfield | Township, MI | |
Thomas Davis | Ascension St. John Hospital | Detriot, MI |
Jidi Gao | Mayo Clinic Health System | Mankato, MN |
Patrick Geraghty | Washington University | St. Louis, MO |
John Winscott | The University of Mississippi Medical Center | Jackson, MS |
Gregory Stanley | Atrium Health | Charlotte, NC |
Toufic Imam | Catholic Medical Center Vein & Vascular Specialists | Bedford, NH |
Richard Powell | Dartmouth – Hitchcock Medical Center | Lebanon, NH |
Jocelyn Beach | Dartmouth – Hitchcock Medical Center | Lebanon, NH |
Charles DeCarlo | Hackensack University Medical Center | Hackensack, NJ |
Nicholas Petruzzi | Cooper Univeristy Hospital, Cape Regional Medical Center | Cape May, NJ |
Atlanticare Atlantic Medical Imaging | Galloway, NJ | |
Inspira Health Network | Galloway, NJ | |
Atlanticare | Atlantic City, NJ | |
Steve Henao | Presbyterian Healthcare Services | Albuquerque, NM |
Yana Etkin | Long Island Jewish Medical Center | New York, NY |
Jeffrey Silpe | North Shore University Hospital | Manhasset, NY |
Long Island Jewish Medical Center | New York, NY | |
Prakash Krishnan | Icahn School of Medicine at Mount Sinai | New York, NY |
Brian DeRubertis | Weill Cornell Medicine | New York, NY |
Mehdi Shishehbor | University Hospitals Cleveland Medical Center | Cleveland, OH |
Elizabeth Genovese | Hospital of the University of Pennsylvania | Philadelphia, PA |
Sagar Gandhi | Greenville Memorial Hospital | Greenville, SC |
Daniel Clair | Vanderbilt University Medical Center | Nashville, TN |
Michael Siah | UT Southwestern Medical Center | Dallas, TX |
Mark Mewissen | Aurora St Luke's Medical Center | Milwaukee, WI |
“There is an epidemic of lower limb amputation due to ischemia in the United States and LimFlow offers a very promising alternative for these patients to potentially heal their wounds and keep their feet.”
Mehdi H. Shishehbor, DO, MPH, PhD
Professor of Medicine,
Case Western Reserve University School of Medicine
University Hospitals Cleveland Medical Center
Case Western Reserve University
About LimFlow Therapy
Involves catheters, stents, an artery-to-vein crossing system and a unique device that disables valves in the vein, reversing flow in the vein so that blood can flow down to the foot
Designed to bypass blocked arteries in the leg and foot, preventing amputation, relieving pain and enabling wound healing
Minimally-invasive treatment