PIPages
Labs

Katharine McGinigle

University of North Carolina at Chapel Hill, NC·Medicine & Clinical Research

Chronic limb-threatening ischemia (CLTI) is the most severe form of peripheral artery disease, in which blocked leg arteries starve tissue of blood. It causes wounds, amputations and early death.

Fields

Medicine & Clinical Research

Public Health & Epidemiology

Topics

chronic limb-threatening ischemia

peripheral artery disease

vascular surgery

Grants
1 known grant, through May 2029

What they work on

  1. Identify patient traits linked to different disease courses and treatment patterns after the first blood-flow-restoring procedure, using machine learning on data from the 1,830-patient BEST-CLI trial.
  2. Measure how partially missing follow-up visits affects clinical trajectories and amputation-free survival in patients with chronic limb-threatening ischemia, using BEST-CLI trial data.
  3. Find barriers, supports and unmet needs that affect whether CLTI patients follow their treatment plans, using semi-structured interviews and journey mapping, a method that charts each step of a patient's care experience.

More about the research

Treatment combines medication, wound and foot care, and procedures to restore blood flow. Even with good options, outcomes remain poor. Patients' social and economic situations, how well they take their medicines, how well the procedure works, and whether they can attend follow-up visits all change results. How these factors shape the sequence of treatments a patient needs is poorly understood.

Why it matters

Patients with chronic limb-threatening ischemia face high risks of wounds, amputation and death. Treatment plans tailored to their medical and social needs could help them keep their limbs and live longer. The project aims to deliver testable treatment algorithms that show vascular surgeons where to adjust care and where patients need added support, such as help attending follow-up visits.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Tailored Treatment Strategies for Patients with Chronic Limb Threatening Ischemia

NIH · Aug 2025 – May 2029

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The school

University of North Carolina at Chapel Hill: 72 labs on PI Pages, $1.6B a year on research, 523 research doctorates a year.

More about University of North Carolina at Chapel Hill

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