What is limb salvage?
Limb amputation affects millions of Americans. The most common reason that patients undergo amputation is related to a lack of blood supply and associated gangrene. Unfortunately, many patients who undergo amputation haven’t been properly screened for potential procedures that could prevent amputation.
Why limb salvage?
Approximately half the patients who undergo limb amputation are not properly evaluated by a limb salvage specialist. Simply restoring blood flow to the affected limb can often prevent amputation or allow for a limited amputation to heal.
Orange County Heart Institute’s Limb Salvage Program helps patients avoid amputation and preserve a significant independent quality of life enabling our patients to continue to lead fulfilling lives.
Our approach
At Orange County Heart Institute’s Limb Salvage Program, our patients undergo a battery of tests including bilateral lower extremity ultrasound, CAT scans, and arterial pressure measurements to determine if they’re a candidate for lower extremity angiography and limb salvage procedures. These non-invasive evaluations allow for quicker and more accurate diagnosis. Many of our limb salvage procedures are in an outpatient environment which allows speedy recovery and minimizes hospital stays.
Our team
Dr. Kolski and the Limb Salvage team at Orange County Heart Institute are experts in providing minimally invasive techniques to alleviate symptoms and help prevent limb loss. Our Limb Salvage Program has an excellent track record and has saved many patients’ extremities. Dr. Kolski is on the national faculty for the Society for Cardiovascular Angiography and Interventions and is a nationally recognized expert in this field.
Who we treat
According to the National Institutes of Health, peripheral arterial disease (PAD) affects one in every 20 people in the United States over 50. PAD develops when the arteries that supply blood to the internal organs, arms and legs become completely or partially blocked as a result of atherosclerosis. There are many possible side effects of atherosclerosis including non-healing leg ulcers and critical limb ischemia (CLI) if the lower extremity arteries are involved. The 2 million people with CLI are at imminent risk of amputation.
Are you or someone you love a candidate for our Limb Salvage Program?
Additional Cardiology Services
Dr. Kolski is a highly skilled, nationally recognized cardiologist providing patients in Orange Country with world class heart care services
PREVENTIVE CARDIOLOGY
Dr. Kolski and the team at Orange County Heart Institute provide full-service evaluation to patients with a strong family history of heart disease and to people who want to know their overall cardiovascular risk.
TRANSCATHETER AORTIC VALVE REPLACEMENT
Patients receiving new aortic valves see their life expectancy increase and see dramatic improvement in their symptoms. Dr. Kolski performs over 100 TAVR operations per year.
PERCUTANEOUS CORONARY INTERVENTION
Protected PCI is a minimally invasive alternative to bypass surgery. Dr. Kolski and the team at St. Joseph Hospital perform many high risk coronary interventions every year.
MITRAL VALVE REPAIR PROGRAM
A reduction in mitral regurgitation is dramatic, leading to improved outcomes and symptoms, and fewer hospitalizations. Dr. Kolski and his team have performed over one hundred Mitraclip procedures in the past several years.
PFO TREATMENT
A PFO may permit blood clots to cross from the right side of the heart to the left side, resulting in a stroke. We perform a catheter-based closure of the PFO with a permanent implant.
TRICUSPID TRANSCATHETER REPAIR
Leaking tricuspid valves can cause liver problems, congestive heart failure and cardiac rhythm problems. Our experienced team has access to the latest device clinical trials to repair leaking tricuspid valves without open heart surgery.
COVID CARDIAC EVALUATION
Patients suffering from COVID-19 related illness can experience problems with blood clotting and coagulation disorders. Dr. Kolski can help determine if you're at higher risk for a stroke or heart attack.
Dr. Kolski performs over 200 structural heart interventions a year and travels throughout the U.S., educating physicians on vascular techniques and Complex Higher-Risk (and Indicated) Patients. He directs the structural heart program at St. Joseph Hospital—the busiest catheter-based heart valve program in Orange County.
Procedures Since 2014
800+
TAVR Procedures
300+
Mitraclip Procedures
600+
Complex Coronary Interventions
400+
Limb Salvage Procedures
Happy & Healthy Patients
In addition to being one of Orange County's leading cardiologists, Dr. Kolski is committed to building relationships with patients built on trust and respect. He goes above and beyond to ensure that patients are comfortable and well cared for.
Dr. Kolski has always treated me with respect as a well informed patient. He spoke to me in medical terms I could readily understand. Dr. Kolski lays out truthfully all my options including detailed discussions on the risks of any heart procedures. I appreciate his candor. You’re getting one of the best cardiologists in SoCal. He’s kind, compassionate and caring. Dr. Kolski’s cheerful happy manner always makes my visits to him a hope-filled pleasant experience.I have recommended Dr. Kolski to both family and friends—he is an excellent clinician. He is also very caring. He explains diagnoses and tests in an easily understood manner.I am beyond pleased with my experience with Dr. Kolski. It was a world away from previous experiences elsewhere. It was nice to be treated with professionalism and care - from the scheduler to Dr. Kolski. I had been to several other physicians and none of them were able to address my health issue. Dr. Kolski successfully did. In addition, I sincerely appreciate his diligent follow up. I would highly recommend Dr. Kolski to anyone who seeks expertise in cardiovascular care.Dr. Kolski offers his patients bedside manners that seems to have been lost by many doctors today. Dr. Kolski’s attention to me as a patient exemplified his concerns over my entire well being. Dr. Kolski also offers new innovative technologies for vascular blockage that was unavailable to me a year ago. I felt there was little hope because I also have an immune deficiency disease and healing is poor for me. When Dr. Kolski informed me of this new technology and of which he was performing and subsequently teaching other cardiologists at a hospital level...I had hope! I feel very fortunate to have found Dr. Kolski. After being referred to a surgeon who adamantly told me I would need a high risk heart surgery, Dr. Kolski reviewed my case and said he could fix my valve and heart arteries through a few small holes in my arm and groin. He was upfront with me about what to expect depending on my choices. I left the hospital on day two with a new heart valve and the main artery to my heart repaired. I feel great.Dr. Kolski was very straight forward and kept things simple - even in the most complicated situations. His advice has helped me through the process, and without him I wouldn’t be able to overcome all of my health issues. I am grateful for all his help.