Revascularisation

If peripheral arterial disease is detected, refer to a vascular specialist for revascularisation and assessment of lower-limb perfusion. Conservative measures can be undertaken while the patient is waiting for specialist review, but the referral must be made as soon as an arterial leg ulcer is diagnosed.

Peripheral arterial reconstructive surgery (open or endovascular) has a small but definite risk of severe complications, is costly, and should not be performed unless there is a clear indication (eg critical limb ischaemia).