The September 2026 Customer Newsletter focuses on Lower Extremity Arterial Disease (LEAD), also known as Peripheral Artery Disease (PAD), and its impact on wound healing and limb preservation. This issue reviews common risk factors, warning signs, physical findings, and the distinct characteristics of arterial wounds. It also highlights essential vascular assessments, including the Ankle-Brachial Index (ABI), Toe-Brachial Index (TBI), Doppler assessment, and arterial duplex ultrasound. Readers will find practical guidance on wound-care priorities, medical management, revascularization, patient education, and signs requiring urgent vascular or emergency evaluation. The key message: think vascular first—early recognition and timely referral can improve healing and reduce the risk of limb loss.