Peripheral Artery Disease A comprehensive guide

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Peripheral Artery Disease (PAD) is a progressive vascular condition characterized by the narrowing or blockage of arteries, most commonly in the legs, due to the buildup of plaque. This reduced blood flow can result in chronic leg pain, fatigue, non-healing wounds, and in severe cases, limb loss. Beyond its physical effects, PAD significantly compromises mobility and overall quality of life.

Why choose minimally invasive therapies for PAD over surgery?

Minimally invasive endovascular procedures have emerged as the gold standard in the treatment of PAD. Compared to traditional open surgery, these techniques offer equivalent—if not superior—clinical outcomes with fewer complications, quicker recovery, and less patient discomfort.

Open surgical procedures typically involve large incisions, general anesthesia, and extended hospitalization. In contrast, endovascular treatments are performed using small punctures and advanced imaging guidance, often under local anesthesia, allowing for a faster return to normal activities and fewer perioperative risks.

Common minimally invasive treatments for PAD:

  • Angioplasty: A catheter with a balloon tip is navigated to the narrowed artery and inflated to widen the vessel, improving blood flow.
  • Stenting: Often used in conjunction with angioplasty, a metal mesh tube (stent) is placed in the artery to keep it open and prevent re-narrowing.
  • Atherectomy: A device with a rotating blade or laser is used to remove plaque buildup from the arterial walls, restoring optimal blood flow.

These procedures are typically performed in outpatient settings and require minimal downtime.

Key advantages of minimally invasive PAD treatments

1. Reduced recovery time
Patients undergoing endovascular therapy often resume regular activities within days. This is a stark contrast to the weeks-long recovery associated with open surgery.

2. Lower risk of complications
Minimally invasive techniques carry a significantly lower risk of infection, bleeding, and anesthesia-related complications. This is particularly advantageous for elderly patients and those with comorbid conditions.

3. Less pain and discomfort With minimal tissue disruption and smaller incisions, patients experience less postoperative pain and require fewer pain medications. Read More

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