Not only can early detection/treatment of PAD restore mobility, it can decrease your long-term risk for amputation, heart disease, stroke and potentially prolong your life.
At the Center For Vascular Medicine, we value the relationships we develop with our patients. It is through a mutual understanding and respect that we are able to achieve a high level of success in our treatment of peripheral artery disease (PAD). Long-term follow-up care is an essential component of any medical treatment, including PAD. It is very important that patients be willing to make lifestyle changes like weight loss, smoking cessation and daily exercise.
Treatment Options For Peripheral Artery Disease
Center for Vascular Medicine is one of Maryland’s leading medical facilities for the most advanced and patient-focused diagnostic and therapeutic modalities for the treatment of PAD. Our goal is to relieve painful symptoms of PAD, improve quality of life and mobility, and prevent heart attack, stroke and amputation.
There are three main components to the treatment of peripheral artery disease (PAD):
- Lifestyle modification
- Interventional/Surgical Treatment
We work with patients and their primary care physicians on the lifestyle modification and medication aspects of managing PAD. However, if these measures fail to improve your condition, our expertise is in interventional and surgical treatments for PAD.
It is important to note that every procedure will not cure PAD. Interventional procedures will, however, greatly improve your circulation, mobility and decrease your risk of heart attack, stroke or amputation.
PAD Interventional Treatment Options
Endovascular treatment is a minimally invasive way to improve circulation in the arteries. This can be done in a variety of ways.
This is the initial step to confirm the presence of significant PAD. Angiography is an x-ray of the arteries performed on an outpatient basis with mild anesthesia and used to confirm abnormal findings of an ultrasound exam. In addition, angiography can be used for therapeutic intervention using various modalities including:
A relatively new technique offered at CVM for re-establishing blood flow through narrowed or blocked arteries. This technique may be utilized during angiographic procedures.
Angioplasty refers to a technique used to open blocked arteries by inflation of a balloon catheter. This technique is also utilized in the angiography suite frequently in conjunction with both atherectomy and stenting.
A stent is a cylindrical metal wire mesh tube which is inserted into the artery in order to keep the blood flow channel open. This technique is also frequently combined with both atherectomy and angioplasty.
These procedures are minimally invasive, yet highly effective in restoring blood flow to the muscles. Once blood flow is restored, PAD symptoms such as leg pain will be greatly reduced or eliminated altogether.
Peripheral Arterial Disease Bypass Surgery
In a limited number of cases, patients may need a peripheral artery bypass surgery. The physician will re-route blood flow around a blockage in the artery using a graft (usually made of plastic or a vessel taken from another part of the body) within a hospital setting.
Lifestyle Modification for PAD Treatment
Successful treatment for PAD requires patients to make long-lasting lifestyle changes. Your doctor may recommend one or more of the following:
- Don’t smoke, and if you do, quit. Any amount of smoking, even as few as one or two cigarette per day, can impact your PAD treatment.
- Tighter control of your blood pressure, cholesterol and glucose levels.
- Adopt a healthy diet that is low in saturated fat, trans fat, and cholesterol and high in whole grains with fresh fruits and vegetables.
- Exercise daily. Walking 30 minutes per day can greatly reduce symptoms of PAD.
- Aim for a healthy weight. If you are overweight or obese, work with your health care provider to develop a supervised weight loss plan.
Medication For Treatment of PAD
Your doctor may recommend one or more medications to:
- Lower high blood pressure and cholesterol levels and treat diabetes.
- Prevent the formation of blood clots that could cause a heart attack or stroke.
- Reduce leg pain while walking or climbing stairs.
Call (301) 486-4690 to schedule a consultation or request an appointment online.