Here is an overview of the treatments at our office. Treatment may slow or stop the progression of the disease and reduce the risk of complications. Without treatment, PAD may progress, resulting in serious tissue damage in the form of sores or gangrene (tissue death) due to inadequate blood flow. Dr. Pukin will recommend the best treatment plan for you.
Balloon Angioplasty
Balloon angioplasty is done in the catheterization laboratory. The doctor injects a special dye through a small, thin tube called a catheter into your bloodstream. The dye allows the doctor to view your arteries on an X-ray monitor. A device with a small balloon on its tip is then inserted through an artery in your leg or arm and threaded through the arteries until it reaches the narrowed area. The balloon is inflated to flatten the plaque against the wall of the artery, opening the artery and restoring blood flow. Then the balloon is deflated and removed from your body.
Stenting
Your doctor may recommend placing a stent to reopen your blocked artery. A stent is a small, expandable, mesh-like tube that supports the artery and helps to keep it open.
Implanting a stent does not require open surgery. The doctor inserts a catheter into an artery in your arm or leg, similar to the balloon angioplasty procedure. A specially designed catheter delivers the stent to the narrow area in the artery. The stent is expanded, flattening the plaque against the artery wall and holding the artery open with a mesh tube. The catheter used to deliver the stent is then removed, but the stent stays in your artery permanently to maintain healthy blood flow.
Atherectomy (Endovascular Plaque Removal)
An atherectomy is a procedure to remove plaque from an artery (blood vessel). Removing plaque makes the artery wider, so blood can flow more freely to the leg muscles. In an atherectomy, the plaque is shaved or vaporized away with tiny rotating blades or a laser on the end of a catheter (a thin, flexible tube).
Hemodialysis Access Management (Dialysis Graft and Fistula Interventions)
Using live X-ray for guidance, the doctor will insert a catheter into a vein or artery, usually in the arm or leg, and guide it to the fistula or graft.
Uterine Artery Embolization (UFE)
UFE is a minimally invasive procedure used to treat fibroid tumors of the uterus which can cause heavy menstrual bleeding, pain, and pressure on the bladder or bowel. It uses a form of real-time x-ray called fluoroscopy to guide the delivery of embolic agents to the uterus and fibroids. These agents block the arteries that provide blood to the fibroids and cause them to shrink. Studies have shown that nearly 90 percent of women who undergo UFE experience significant or complete resolution of their fibroid-related symptoms.
Prostate Artery Embolization (PAE)
PAE is a nonsurgical, leading-edge, effective treatment for enlarged prostate that preserves much of the prostate and has a quick recovery period. It has a low risk of urinary incontinence and sexual side effects and greater than 90% of patients see significant improvement in symptoms.
Balloon Angioplasty
Balloon angioplasty is done in the catheterization laboratory. The doctor injects a special dye through a small, thin tube called a catheter into your bloodstream. The dye allows the doctor to view your arteries on an X-ray monitor. A device with a small balloon on its tip is then inserted through an artery in your leg or arm and threaded through the arteries until it reaches the narrowed area. The balloon is inflated to flatten the plaque against the wall of the artery, opening the artery and restoring blood flow. Then the balloon is deflated and removed from your body.
Stenting
Your doctor may recommend placing a stent to reopen your blocked artery. A stent is a small, expandable, mesh-like tube that supports the artery and helps to keep it open.
Implanting a stent does not require open surgery. The doctor inserts a catheter into an artery in your arm or leg, similar to the balloon angioplasty procedure. A specially designed catheter delivers the stent to the narrow area in the artery. The stent is expanded, flattening the plaque against the artery wall and holding the artery open with a mesh tube. The catheter used to deliver the stent is then removed, but the stent stays in your artery permanently to maintain healthy blood flow.
Atherectomy (Endovascular Plaque Removal)
An atherectomy is a procedure to remove plaque from an artery (blood vessel). Removing plaque makes the artery wider, so blood can flow more freely to the leg muscles. In an atherectomy, the plaque is shaved or vaporized away with tiny rotating blades or a laser on the end of a catheter (a thin, flexible tube).
Hemodialysis Access Management (Dialysis Graft and Fistula Interventions)
Using live X-ray for guidance, the doctor will insert a catheter into a vein or artery, usually in the arm or leg, and guide it to the fistula or graft.
Uterine Artery Embolization (UFE)
UFE is a minimally invasive procedure used to treat fibroid tumors of the uterus which can cause heavy menstrual bleeding, pain, and pressure on the bladder or bowel. It uses a form of real-time x-ray called fluoroscopy to guide the delivery of embolic agents to the uterus and fibroids. These agents block the arteries that provide blood to the fibroids and cause them to shrink. Studies have shown that nearly 90 percent of women who undergo UFE experience significant or complete resolution of their fibroid-related symptoms.
Prostate Artery Embolization (PAE)
PAE is a nonsurgical, leading-edge, effective treatment for enlarged prostate that preserves much of the prostate and has a quick recovery period. It has a low risk of urinary incontinence and sexual side effects and greater than 90% of patients see significant improvement in symptoms.
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