Peripheral Arterial Disease
Peripheral Arterial Disease (PAD) is a circulatory disease in which plaque builds up in the arteries of the leg. This buildup of plaque narrows or blocks blood flow in the legs, which reduces the circulation of blood to organs and could cause a cardiovascular event like a heart attack or stroke.
PAD is a common disease that affects 13% to 20% of those 65 and older. About 8 to 12 million people in the US have this disease. People who smoke and those with diabetes are at especially high risk.
Among patients with PAD, about half do not have any symptoms. However, identification of this disease is important, as PAD is a marker of future cardiovascular events. People with PAD are at least 3 times more likely to experience a cardiovascular event in the future (source: https://www.nejm.org/doi/full/10.1056/nejm199202063260605).
Fortunately, safe, effective, and minimally invasive treatments are available. If you suffer from symptoms of PAD, including fatigue, cramping, and/or pain in the leg muscles, contact us now for a free consultation. Our team of doctors will perform several non-surgical diagnostic procedures to determine the best treatment for you.
Treatment Options for PAD
At Metro Vascular Centers, our expert doctors treat peripheral arterial disease (PAD) with safe, effective, and minimally invasive procedures. Our doctors carefully evaluate each patient to craft an individualized treatment plan.
We offer safe, state-of-the-art treatment options for PAD. Our procedures — including angioplasty, stenting, and atherectomy — are minimally invasive and effective.
In angioplasty, the doctor makes a small incision uses a catheter to guide a small, unfilled balloon to the site of the blockage. The balloon is inflated, pressing the plaque tight against the wall of the artery. After the balloon is removed, the opening in the artery is wider, and blood can flow more freely to the heart muscles.
A medical stent is a metal or plastic tube inserted into the blood vessel or duct to keep the passageway open and blood flow continuous.
Long Term IV access:
Chemotherapy or anti drug infusions
Long Term intravenous antibiotic treatment
Long term intravenous feeding
Repeated drawing of blood samples
Deep Vein Thrombosis Treatment:
Deep Vein Thrombosis (DVT) occurs when a blood clot develops in a deep vein, usually in a vein in the leg. There are more than 200,000 cases per year in the United States. This is considered a serious condition, as blood clots can loosen and get lodged in the lungs. Symptoms such as leg pain, swelling, tenderness, heaviness, throbbing, skin discoloration, large veins and being warm to the touch may occur, but some patients will not experience any symptoms. Conventional treatments consist of medication and compression stockings; however, these treatments are often ineffective and a catheter may be inserted to treat the blockage and dissolve the clot. A doppler ultrasound, D-dimer test or a venography may be used to diagnose a DVT.
At Metro Vascular Centers we offer several treatment options using the latest technology to successfully treat DVT
An AV Fistula is a surgical procedure which connects an artery and vein created by a vascular specialist. They are typically located in your arm or leg. As blood flows directly from the artery into the vein, it increases blood flow through the vein, in addition to increasing blood pressure. Through this process, the vein will increase in size adequately enough to provide hemodialysis treatments. AV fistulas are preferred for long term access because they last longer than any other dialysis access type and are less prone to infection and clotting. Testing procedures, such as an ultrasound or angiogram, are utilized to determine whether or not your blood vessels can support an AV fistula. The procedure is done under local anesthesia and can be done in an outpatient setting. It may take up to a month or longer for the fistula to mature to a point it can be used for hemodialysis treatments.
At Metro Vascular Centers we offer several treatment options using the latest technology to successfully conduct an AV Fistula procedure.
May Thurner Syndrome:
May-Thurner Syndrome (MTS) is a condition can increase your likelihood of blood clots. It is not a genetic condition. It happens when the right iliac artery presses against the left iliac vein, causing an increased likelihood of deep vein thrombosis, a dangerous blood clot, in the left leg.
At Metro Vascular Centers we treat MTS.
Pelvic Congestion Syndrome:
Recurring pelvic pain is a very common problem in the US. It makes up 10-15% of referrals to gynecologists. For some females, the reason for their pelvic pain is known as pelvic congestion syndrome (PCS). It may fly under the radar simply because doctors are often unfamiliar with it and/or fail to look for the symptoms.
Often times, symptoms don’t present themselves until a woman becomes pregnant, and oftentimes they continue after the pregnancy. The most common symptom of PCS is pain in the pelvic region. The pain typically worsens as the day progresses, particularly for women who are sedentary or remain standing for the majority of the day. It then sometimes goes away after a good night’s sleep. This pain can also become worse during or after intercourse, during menstrual periods, and after certain physical activities, such as cycling or equestrian riding.
At Metro Vascular Centers we treat PCS.
IVC Filter Placement and Removal
The inferior vena cava (IVC) filter is a minute device that stops blood clots such as DVT from reaching the lungs. The inferior vena cava is a particularly large vein in the midde of your body. The device is inserted via a short surgery. DVT is a grave medical condition that can cause swelling, pain, and tenderness in your leg. Some cases involve a deep clot in a leg vein that breaks free and gets stuck in a lung blood vessel. This can result in a block in the vessel referred to as a pulmonary embolism. Pulmonary embolisms can result in serious shortness of breath and even sudden fatalities.
An IVC filter is one of the procedures that helps prevent a pulmonary embolism. The inferior vena cava (IVC) is the major vein that brings oxygen-deficient blood from the lower half of the body back to the heart. The IVC filter is a minute device that filters this blood. The filter catches these aforementioned blood clots and prevents them from reaching the heart and lungs.
At Metro Vascular Centers we perform the procedure to insert or remove IVC’s.
A peripherally inserted central catheter or “PICC” is a thin, soft, flexible tube, as well as an intravenous (IV) line. Treatments, such as medications usually given via an IV, can be distributed though a PICC. Blood tests can also be performed from blood drawn from a PICC.
At Metro Vascular Centers we can insert or remove PICC lines.