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Peripheral ischaemia is a serious condition in which blood flow to a limb is restricted by narrowing or blockage of the arteries.

'Ischaemia’ means inadequate supply of oxygenated blood to an organ or part of the body. ‘Peripheral ischaemia’ refers to lack of blood supply to a limb.

Protecting our clients when negligently caused injuries leave them with a future risk of amputation

Where a negligently caused severe injury leaves the individual at risk of needing an amputation in the future, a claim can be made for provisional damages, in which settlement is secured for the current injury, preserving the claimant’s right to return to court for more compensation in the event that the anticipated future amputation occurs.

Recent cases include:

  • £900,000 compensation for a 57-year-old client who suffered a below-knee amputation as a result of a vascular surgeon’s failure to surgically treat a popliteal aneurysm. After 15 months of conservative treatment, in which he was monitored but did not undergo surgery, he developed a thrombosed popliteal artery aneurysm. He underwent surgery but required a below-knee amputation. Our client’s compensation included replacing his lost earnings as a result of no longer being able to carry out his former job, and necessary adaptations to his home.
  • £750,000 compensation for a nurse who needed amputation of her left hand, right hand (fingers and thumb), toes of the left foot, and right leg below the knee, after negligent treatment of post-operative sepsis and necrotising fasciitis. She suffered septic shock, multi-system organ failure, ischaemia, brachial thrombosis and peripheral vascular compromise which led to gangrene in her hands and feet. She also suffered a psychological injury. The hospital denied liability and our client’s previous solicitors told her that her claim could not be pursued. She approached us for help. We pursued the claim  and negotiated an out of court settlement which enabled our client to pay for prostheses, therapies, specialist equipment, an adapted car and adaptations to her  home.
  • £450,000 compensation for a 70-year-old client who suffered a below-knee amputation as a result of mismanagement of his anticoagulant medication during and after surgery. He had a medical history of thrombosis and popliteal vascular disease and had an increased risk of thrombosis and femoral artery occlusion (blockage). The hospital error led to him suffering a thrombosis, an ischaemic foot (from lack of blood flow to the limb) and amputation. Earlier in the claim we secured an admission of liability, apology, and interim payments for our client to ease his financial hardship and pay for a bespoke prosthetic limb.
  • £150,000 compensation for a client who lost her central vision in one eye after GP failure to diagnose  ‘amaurosis fugax’ transient retinal ischaemic attacks and refer her to a stroke/TIA clinic for urgent treatment. She has a 1% risk of total blindness if she develops glaucoma in her other eye in future. Correct treatment would have preserved her vision. The GP denied liability throughout the claim, but settlement was reached before trial.
  • A substantial settlement for a man in his sixties who suffered an above knee amputation after negligent hospital treatment of a popliteal aneurysm. A blood clot from the aneurysm blocked the blood supply to his leg. He underwent emergency surgery but it was too late to avoid an above knee amputation.

The classic signs of acute limb ischaemia are sometimes known as the six Ps:


This refers to when the limb is at rest. Pain on walking might indicate intermittent claudication which is an early, treatable sign of peripheral arterial disease.


Pallor means an unhealthy, pale appearance. An acutely ischaemic limb often appears white in comparison to the other limb. Other discolouration of the limb, such as abnormally pink, blue, mottled or black, suggests more chronic or advanced ischaemia.


Paraesthesia is an abnormal sensation, such as pins and needles, or numbness.


Paralysis is an advanced sign which suggests an element of irreversible ischaemia.


The limb feels very cold when compared to the other limb.


If there is no pulse and ischaemia is suspected, arterial Doppler signals should be checked.

Who is at risk from peripheral ischaemia?

Individuals with Type 1 or Type 2 diabetes, coronary artery and smokers of any age are at increased risk.

1 in 3 diabetics over the age of 50 are affected by peripheral arterial disease.

1 in 5 (20%) of all adults over the age of 60 are believed to have peripheral arterial disease to some degree.

Peripheral ischaemia is one of the most common types of serious claim against GPs

Peripheral ischaemia is one of the most common types of serious medical negligence claim against general practitioners. This is because delay or failure to diagnose the condition or inadequate or delayed treatment leads to devastating consequences for the sufferer, including ulceration, gangrene and the loss of the limb.

    Peripheral ischaemia claims arising from surgery

    Limb ischaemia leading to amputation can also be caused by surgical errors or delays, such as:

    • Surgical injury to the popliteal artery.
    • Failure to protect a patient with a known risk of thrombosis by appropriate peri-operative anti-coagulation.  
    • Delay in surgery to treat a popliteal aneurysm, leading to amputation
    • If lower limb revascularisation by angioplasty (a procedure to improve blood flow by widening the artery by inserting a balloon or stent) is negligently delayed, leading to avoidable amputation, this may also result in a claim.
    Read more

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    Susan Brown


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    Julie Marsh


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    Richard Money-Kyrle


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    Senior Associate - solicitor

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    Vanessa Wand

    Senior associate - solicitor

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    Tara Byrne

    Associate - Solicitor

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    Rachel Makore

    Associate - solicitor

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    Alpa Rana

    Associate - solicitor

    Fran Rothwell

    Fran Rothwell

    Associate solicitor

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    Ben Ireland


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    Audrey Elmore

    Medical records coordinator

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    Nicky Melville

    Professional support assistant

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    Peripheral ischaemia cases

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    "Julie Marsh is a first rate litigator"

    Julie Marsh is a first rate litigator who adds real value to all her cases. I have always been impressed not just by her expertise as a clinical negligence lawyer but by the way she treats every client as an individual and works on their case as if it is the most important thing in the world, which to many clients it really is.

    King's Counsel

    "You have given fantastic support and guidance"

    Boyes Turner have a great asset in Julie Marsh, she has handled my case with such professionalism and has kept me informed at every stage over the 6 years. She has given me guidance, support and that personal touch where I could ring or email at any time and she would always answer and give me answers to any questions I had. Would recommend without hesitation. Thank you

    Boyes Turner Client

    "I have been impressed"

    Tara Byrne kept me well informed at all stages of my claim. I have been impressed with the way my case was handled, and the time scale within which a settlement was reached.”

    Boyes Turner Client

    "Very Professional "

    Boyes Turner helped me through one of the toughest times in my life. They were very professional whilst remaining friendly. At times the process was emotionally tough but they were very patient with me and went through everything with me until I understood it. I cannot recommend them enough. 

    Boyes Turner Client

    "We cannot thank Susan and her team at Boyes Turner enough"

    Words cannot express how grateful we are to Susan and her team for the level of commitment and dedication shown to our family during a time which would be difficult for anyone. Susan demonstrates a calm professional manner which helped us to feel at ease. Her level of knowledge has proven to be the best in the field and we fully recommend her to anyone seeking to investigate birth injury claims. You can be confident that Susan and her team will scrutinise the medical notes thoroughly and will keep you well informed throughout the process. We are very pleased with the outcome of our child’s case and know that her work has resulted in justice being achieved. Our family will now be able to move forward in the knowledge that the finances are securely in place for our child to receive a suitable care package, purchase equipment and receive necessary lifelong therapy. We cannot thank Susan and her team at Boyes Turner enough.

    Boyes Turner Client