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Peripheral Artery Disease Revascularization

Georgia Endovascular offers arterial revascularization treatment for peripheral artery disease. We'll take a closer look at the different approaches.

Endovascular revascularization is a medical procedure to restore blood flow to blocked or narrowed arteries in the body. It is commonly performed for individuals with peripheral artery disease (PAD), a condition where the arteries that transport blood to the lower extremities become narrowed or blocked.

Treatment for PAD involves two types of peripheral arterial revascularization procedures: angioplasty and stenting.

Balloon Angioplasty

Angioplasty, or percutaneous transluminal angioplasty (PTA), is a minimally invasive procedure involving using a catheter with a balloon at its tip. The catheter is inserted into the blocked or narrowed artery and guided to the site of the blockage. Once in place, the balloon is inflated, which helps to widen the artery and encourage blood flow. In some instances, a stent might also be inserted to help keep the artery open.

The advantages of balloon angioplasty include its minimally invasive nature, relatively short procedure time, and low risk compared to open surgery. The procedure can also be performed during the same visit as the diagnostic angiography, eliminating the need for additional procedures.


Stenting is another revascularization technique commonly performed in patients with PAD.

The procedure involves inserting a wire mesh stent into the narrowed or blocked artery to keep it open and improve blood flow. Stenting can be performed through a small incision in the groin or wrist, often undertaken using local anesthesia. Stenting opens the blockage to effectively revascularize the targeted area.

The advantages of stenting include its immediate opening of the blocked artery, reducing the risk of ischemic complications, and the need for further procedures. Stenting also ensures the long-term viability of the artery, reducing the risk of closure and the need for repeat procedures.

However, stenting also comes with some caution. One potential complication is stent thrombosis, which is a blood clot that forms within the stent itself. This complication can trigger a heart attack, stroke, or even death. Other potential complications include bleeding, infection, and vascular injury.

The choice of peripheral revascularization procedure depends on numerous variables, including the location and severity of the blockage, the patient's overall health, and the healthcare provider's preferences.

Revascularization treatments for PAD are generally safe and effective in improving blood flow and relieving symptoms such as pain, numbness, and difficulty walking. Once revascularized, patients can expect a notable reduction in symptoms.

After arterial revascularization surgery, individuals with PAD need to make lifestyle changes to manage the underlying condition and reduce the risk of further blockages. Lifestyle adjustments may include quitting smoking, adopting a healthy diet, exercising regularly, and taking prescribed medications to control blood pressure, cholesterol levels, and blood sugar.

Georgia Endovascular: The Leading Resource for Vascular Health in Atlanta

Balloon angioplasty and stenting are revascularization techniques used to treat patients with PAD. Each method has its advantages, and choosing one approach over another depends on various factors, including the severity of the disease, the patient's medical condition, and personal preference.

Peripheral artery disease requires long-term management even after PAD revascularization. At Georgia Endovascular, we partner with our patients to determine the best PAD management strategy for their condition, lifestyle, and goals.

If you have concerns about symptoms of PAD, please contact our caring representative to schedule an evaluation today.

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