They told you amputation was the only option. We disagree.
Saving your life and leg begins with saving your foot. Limb Salvage Starts Here at TCCE!
Why Patients Choose TCCE?
Oklahoma’s leaders in the toughest below-the-knee & below-the-ankle revascularization cases.
Minimally invasive, same-day outpatient procedures — no hospital stay required.
One dedicated Limb Salvage team. Excellence redefined.
Led by Dr. Matthew Comstock
• Same-Day Discharge • Nationally Recognized Expertise • 100% Outpatient • Thousands of Limbs Saved
WHY TCCE IS DIFFERENT?
When Other Centers Say “No,” TCCE Says “We Disagree.” Most vascular centers stop at the knee. We don’t.
At Tulsa Cardiovascular Center of Excellence, we specialize in the most complex, “no-option” cases involving deep-vessel blockages below the knee and below the ankle — the exact procedures that prevent amputation when others have given up.
Led by Dr. Matthew Comstock — Oklahoma’s foremost expert in below-the-knee and pedal revascularization.
Minimally invasive, same-day outpatient procedures — walk in, walk out the same day with no hospital stay.
One dedicated Limb Salvage team — laser-focused on restoring your mobility and independence.
Excellence redefined — national-level results delivered right here in Tulsa.
Regional Center of Excellence: Advanced Below-the-Knee & Tibial Limb Salvage
Based in Tulsa. Serving Oklahoma and the surrounding region. Nationally recognized for high-concentration tibial expertise.
Tulsa Cardiovascular Center of Excellence serves as a regional referral center for advanced below-the-knee (BTK) and below-the-ankle (BTA) revascularization.
Our clinical mission is singular: Preserve limbs when disease complexity is greatest.
Why Concentration Matters in Advanced Limb Salvage
Peripheral arterial disease encompasses a broad spectrum of anatomical and clinical complexity.
While femoropopliteal interventions are widely performed, advanced tibial and pedal disease presents distinct technical challenges, including small-caliber vessels, heavy calcification, multivessel occlusion, and tissue loss.
Successful limb salvage in this setting requires:
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High procedural repetition
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Experience in multivessel tibial reconstruction
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Territory-based revascularization strategy
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Advanced chronic total occlusion (CTO) crossing techniques
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Structured post-intervention assessment
Sustained case concentration refines technical judgment and procedural decision-making in complex disease and is associated with improved outcomes and lower amputation risk.
Independent structured procedural datasets demonstrate that TCCE maintains one of the highest individual concentrations of advanced tibial and pedal CLTI experience nationally — delivered locally to patients across Oklahoma and the surrounding region.
Purpose-Built Infrastructure for Complex Tibial Reconstruction
TCCE is intentionally structured around advanced below-the-knee and pedal revascularization.
Our clinical model integrates:
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Comprehensive tibial and pedal ultrasound evaluation
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High-resolution angiographic imaging
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Intravascular ultrasound (IVUS)–guided optimization
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Multivessel tibial reconstruction strategies
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Inframalleolar and pedal arch revascularization
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Structured CLTI triage and scheduling pathways
This focused infrastructure enables consistent management of high-acuity limb salvage cases that are less frequently encountered in broader PAD programs.
Regional Escalation Resource for Advanced CLTI
TCCE collaborates closely with physicians and health systems throughout the region.
Referral relationships include:
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Podiatry
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Wound care services
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Nephrology and dialysis networks
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Community-based physicians
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Hospital-based specialists
When anatomical complexity exceeds routine PAD management, TCCE provides advanced escalation for:
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Multivessel tibial occlusion
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Below-the-knee and below-the-ankle chronic total occlusions
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Failed prior revascularization
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High-risk limb preservation planning
Care remains collaborative. When appropriate, patients return to their referring physicians for longitudinal management.
What Defines a Regional Center of Excellence
A true Center of Excellence is defined by:
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Concentration of clinical experience
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Consistent exposure to advanced pathology
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Structured and reproducible clinical pathways
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Dedicated technical infrastructure
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Collaborative referral integration
At TCCE, advanced tibial and inframalleolar limb salvage is not an occasional service. It is a core institutional focus.
For patients facing advanced PAD or potential amputation, we offer comprehensive limb salvage consultation.
Tulsa Cardiovascular Center of Excellence
Regional Center of Excellence for Advanced CLTI & Limb Salvage Care
HOW IT WORKS?
1. Call or click — Schedule your limb-saving evaluation (918) 943-5303.
2. See the experts — Meet Dr. Comstock and the dedicated Limb Salvage team.
3. Go home the same day — Minimally invasive procedure. Restored blood flow. Renewed hope.
Frequently Asked Questions
Don’t wait until it’s too late.
Saving your life and leg begins with saving your foot. Limb Salvage Starts Here at TCCE!
Compassionate Care. Advanced Limb Salvage. Proven Results.
