Diagnosis and Treatment of P.A.D.2019-05-31T10:52:42+08:00

Diagnosis and Treatment

How is P.A.D. Diagnosed?

If your healthcare professional thinks you might have P.A.D., they will ask you questions about your clinical history, symptoms, and lifestyle. The healthcare professional will conduct a physical exam to check for changes in your skin, hair, and nails, and inspect your legs and feet for sores. They will also check the flow of blood in your legs and feet by feeling the pulses in your ankles and feet. If you have not recently had a blood test for diabetes or cholesterol, your healthcare professional may suggest these.

The simplest and most commonly used test for P.A.D. is called an Ankle-Brachial Index (ABI) test. The ABI test compares blood pressure in the ankle with the blood pressure in the arm. Normally, the pressure in the ankle is higher than the arm, but in people with P.A.D., the pressure in the ankle is lower than that of the arm.

The ABI measurements are done with a Doppler probe that is held over the ankle to listen to the blood flowing through the artery. A gel ointment is placed on the skin over the artery and the Doppler probe is placed on the gel to help the healthcare professional hear the blood flow and measure the pressure. The test is painless and takes about 10 minutes. The ABI test, along with your symptoms, will allow your healthcare professional to determine whether or not you have P.A.D. and how severe the disease is.

Recommended Treatments

Upon diagnosis of P.A.D. by your healthcare professional, might recommend one of the following treatments:

Diet

Many P.A.D. patients have elevated cholesterol levels. A diet low in saturated and trans fat can help lower blood cholesterol levels, but cholesterol-lowering medication may be necessary to maintain the proper cholesterol levels.

*Smoking Cessation

Tobacco smoke is a major risk factor for P.A.D. and your risk for heart attack and stroke. Stop smoking. It will help to slow the progression of P.A.D. and other heart-related diseases.

Exercise

An often effective treatment for P.A.D. symptoms is regular physical activity. Your doctor may recommend a program of supervised exercise training known as cardiac rehabilitation. You may have to begin slowly, but simple walking regimens, leg exercises and treadmill exercise programs can ease symptoms

Medication

You may be prescribed high blood pressure medications and/or cholesterol-lowering medications. It’s important to make sure that you take the medication as recommended by your healthcare professional. Not following directions increases your risk for P.A.D, as well as heart attack and stroke.

In addition, you may be prescribed medications to help prevent blood clots.

Minimally Invasive Surgeries

ANGIOPLASTY – Balloon inflated in a narrowed vessel and push the plaque against the artery wall to restore blood flow

STENT – A stent is a small wire mesh tube that remains in the body after the procedure. It acts like a support system and mimics the structure of an artery wall to keep the blood vessel open

ATHERECTOMY – Using devices designed to break through the blockage in your artery and provide a path for other devices that restore flow

Vascular Bypass Surgery

Vascular bypass is another option if your doctor wants to treat a narrowed or blocked artery. This procedure bypasses the blockage in your artery by creating a path for blood flow around it.

The doctor will make a surgical incision near the blocked artery and reroute the blood flow by attaching an artificial graft (or one of your own veins) above and below the blockage.  This treatment allows blood to go around, or bypass, the diseased part of your artery.

Additional Treatment Options

Additional treatments may be available for PAD. Talk to your healthcare provider to understand what treatment options may be appropriate for you.

Medical Insurance

Genesis Vascular has dedicated specialists who will assist you in determining your insurance coverage. Our team will contact your insurance company to verify eligibility and complete all the necessary paperwork. Our customer care team understands your concerns and is ready to assist you with any questions you might have regarding your insurance.

Medicare, Medicaid, and most insurances accepted.

Please contact us to find out more about the coverage your insurance carrier provides for your treatment.

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PATIENT STORIES

This is a pleasant 83-year-old Caucasian female with a history of melanoma, diabetes mellitus, hyperlipidemia, hypertension, and arthritis who was referred for a vascular evaluation of the lower extremities due to symptoms of claudication right greater than left.  Patient underwent a CTA of the abdomen and pelvis with runoff that revealed severe bilateral superficial femoral artery disease.  After completion of the vascular evaluation, the decision was made for patient to undergo a bilateral lower extremity arteriogram with possible intervention.

The patient was brought to the peripheral angiography suite to undergo a bilateral lower extremity arteriogram with possible intervention.  Patient was noted to have severe disease of the right superficial femoral artery with a 90% stenosis.  The decision was made to proceed with an atherectomy and angioplasty of the patient’s right superficial femoral artery.

Upon completion of procedure, patient reported improved symptoms of claudication.  She was able to walk her dog without discomfort.  Patient overall rated her experience as excellent.  The patient was very appreciative of the care she received and highly recommends Genesis Vascular of Pooler

“I love the staff at Genesis Vascular of Pooler. Always excellent service!”

– Genesis Vascular of Pooler

This is a pleasant 56-year-old African-American male with a history of diabetes mellitus, hypertension, hyperlipidemia, and CVA, who was evaluated for peripheral vascular disease due to symptoms of claudication right greater than left.  Patient had a bilateral lower extremity arterial duplex completed that revealed significant peripheral vascular disease. In light of such the patient was brought to the peripheral vascular suite for further evaluation and management.

After completion of bilateral lower extremity arteriogram, patient was noted to have severe peripheral vascular disease of the bilateral lower extremities.  Patient underwent successful peripheral interventions of both right and left lower extremities.

Patient noted improved symptoms postoperatively and he experienced no complications.

“My experience was excellent. I was very well serviced by a wonderful staff that was quick to respond to my needs. I recommend Genesis Vascular of Pooler.”

– Genesis Vascular of Pooler

Ron is a 73 year old that suffered from severe Peripheral Arterial Disease with lifestyle limiting claudication symptoms in both lower extremities.

“I have been treated for Peripheral Artery Disease at Genesis Vascular twice in 2018. Both times I had a balloon angioplasty performed on my leg by Dr. B. Reddy and each time I was treated by knowledgeable staff who were courteous and responsive to mine and my family’s needs. The Cath lab staff were highly trained professionals which in turn calmed all apprehension. The facility is excellent, transportation was provided and paperwork is minimal. Dr. Reddy is excellent in all aspects of his profession and is very sincere. I highly recommend Genesis Vascular of Salt Lake.”

– Genesis Vascular of Salt Lake

LaDee is an 86 year old who suffered from Peripheral Arterial Disease with rest pain in both lower extremities.

“I was treated at Genesis Vascular for peripheral artery disease. I had two different procedures and the staff were knowledgeable, courteous and accommodated any of my needs. The center is clean and comfortable with little waiting time between check in and my procedure. Genesis Vascular of Salt Lake is an excellent center that I would recommend to anyone seeking treatment for peripheral artery disease.”

– Genesis Vascular of Salt Lake