Peripheral Artery Disease Intervention
Peripheral artery disease (PAD) is a circulatory condition in which
narrowed arteries reduce blood flow to the limbs, most commonly the
legs.
Peripheral Artery Disease (PAD) intervention aims to improve blood flow and reduce symptoms through lifestyle changes, medications, and procedures like angioplasty and stenting.
Symptoms:
- Painful muscle cramping in the hips, thighs or calves when walking, climbing stairs or exercising (claudication)
- Leg pain that doesn’t go away when stopping exercise
- Foot or toe wounds that heal slowly or not at all
- Gangrene
- Decreased temperature in lower leg/foot compared to other leg
- Poor nail/hair growth on legs
- Erectile dysfunction, especially in men with diabetes
Treatment options:
- Lifestyle modifications (e.g. smoking cessation, exercise)
- Medical therapy (e.g. antiplatelet drugs, statins)
- Endovascular procedures
- Open surgical revascularization
Considerations for endovascular
vs. surgical approach:
- Location and extent of disease
- Patient comorbidities and surgical risk
- Urgency of revascularization
Goals of treatment: of treatment:
- Reduce cardiovascular morbidity and mortality
- Improve functional status and quality of life
- Prevent limb loss in critical limb ischemia
Endovascular interventions:
- Balloon angioplasty
- Stenting
- Atherectomy
- Drug-coated balloons/stents
Outcomes:
- Endovascular procedures have lower periprocedural risk but may have lower long-term durability compared to surgery
- Better durability for aortoiliac interventions compared to femoropopliteal
- Infrapopliteal interventions generally reserved for critical limb ischemia
Follow-up care:
- Structured surveillance plan
- Ongoing risk factor modification
- Potential need for repeat procedures
The choice of intervention depends on multiple factors including symptom severity, anatomic location of disease, and patient characteristics. A multidisciplinary approach involving vascular specialists is often beneficial in determining the optimal treatment strategy for individual patients with PAD.
What PATIENTS SAYS !!
Vishal Saxena
Heart Patient
I am grateful to Dr Gautam Swaroop for the medical treatment provided to me during my stay at Sahara hospital,when we lost all hopes ...We believe our prayers was answered by competent,composed and caring Dr Gautam swaroop...
Ram Dev Maurya
Heart Patient
I am really happy to quote that generally doctors after doing surgery and operations...immediately after the operation there is poor accessibility of doctors but Dr gautam swaroop is always available for his patient 24*7
Bechan prasad mishra
Heart Patient
30 minutes after my heart attack I was rushed to Sahara hospital Dr. gautam swaroop put a Life saving stent immediately....and i am alive ....whenever I go and meet Dr. Gautam Swaroop for regular checkup I always feel I am in safe hands
Ranjan Kumar singh
Heart Patient
My patient was on ventilator because of heart attack. We were refused from all hospitals in Lucknow including LARI cardiology. We had lost hope. We admitted under Dr Gautam Swaroop. He did Angioplasty on ventilator and he saved my Father’s life. He has got miraculous hand.My whole family is thankful to him. He is next to God for us.
