Dr Zaharudin on acute limb ischaemia: the Malaysian perspective

In Malaysia, acute limb ischaemia represents the second most common vascular emergency. 

In this PVI 2025 interview, Dr Zaharudin shares his experience managing this challenging condition and discusses the current predominance of open surgical treatment, while highlighting the emerging shift towards an endovascular-first strategy. 

He presents encouraging early outcomes with this approach, including shorter hospital stays, good symptomatic recovery and restoration of flow in previously occluded vessels, while emphasising the need for further clinical trials and stronger evidence to define its role in Malaysia and other regions worldwide.

Is endovascular-first the next step for acute limb ischaemia?