Vascular Surgeon Questions Peripheral Arterial Disease

Can PAD be treated with a surgery?

My mother has been diagnosed with peripheral artery disease, but the doctor says there is no cure for it. Can surgery treat this condition?

16 Answers

Although there is no "cure" for PAD, there are risk factor reductions strategies, medications, and minimally invasive as well as open surgical interventions to save a patient from complications from PAD. These include smoking cessation, statin therapy, asa therapy, Atherectomy, stenting, and open bypass.
Peripheral arterial disease includes a range of medical problems with the arteries , frequently affecting the legs , although affect also the arms and other parts of the body.
According with the degree or severity the treatment range from changes in diet and lifestyle modifications to medical treatment and in severe symptomatic cases to interventions or surgical treatment.
Unfortunately PAD affect us as we get older and there is not cure for it but the treatment options that I mentioned above.
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There are several ways to treat PAD, ranging from a conservative walking program to endovascular treatments which include balloon, stent or "roto rooter", and many open surgical procedures including bypass and direct blood vessel cleanout (endarterectomy). If the physician talking to your family is a cardiologist they can only perform endovascular procedures. If
you wish an opinion regarding surgical options, you should see a vascular surgeon.
I hope this answers your question.
Yes. This condition is treated based on patients symptoms. For example, if a patient can walk a block,stop and continue walking... this is great. This would be the conservative method of treating PAD that doesn’t severely limit a patient’s lifestyle. Claudication is pain with walking due to PAD.

If a patient has a wound that doesn’t heal or has rest pain due to PAD then surgery to treat a blockage is absolutely indicated. Today there are minimally invasive methods and also open surgical
Options to treat.

Lastly, if symptoms impact a patient’a lifestyle; this is also an indication to fix a blockage due to PAD.

Medications such as aspirin, Plavix or low dose xarelto are also indicated
Almost all PAD can be treated some of it medically but a lot of it requires some form of operation either minimally invasive such as an angioplasty or stenting and less commonly these days although still a very durable type of treatment, bypass surgery. These treatments do not "cure" PAD but are designed to relieve the patient of their symptoms.
Yes. Medical treatment. Endovascular treatment with balloon, athterectomy and stent. Failing which bypass surgery.
Yes but medical management first is recommended, exercise programs cessation of smoking.
It depends on the situation but possibly. She would require evaluation to determine the possibilities
Peripheral arterial disease is caused by atherosclerosis, or hardening of the arteries. It can occur in any blood vessel, and when it happens in the legs, it can produce pain in the legs with walking, and if severe, can lead to ulcers, wounds, or gangrene. The primary treatment is medical, to eliminate the things that cause the plaque to develop. However, if leg symptoms are severe, surgical procedures may be necessary to restore circulation to the extremity. Surgery is not curative, it just relieves the blockages. Peripheral arterial disease can be controlled, but never cured. And its not really reversable
PAD treatment depends on the severity. Mild disease is treated with medical management- asa, statins and risk factor modifications. Moderate to severe PAD can be treated with endovascular or open surgical procedures.
Yes line of treatment is progressive walking exercise,control of hypertension and lowering cholesterol
Second line of measurements would be endovascular revascularization balloom angioplasty and steering
3rd line would be surgical bypass for limb salvage
Yes,and with Endovascular
The doctor that told you that is wrong.
PAD can be treated by open bypass surgery or endovascular treatments. Both are very effective if a patient's leg is threatened.
Yes; there are many minimally invasive options
PAD can be treated with surgery, principles for bypass being you need a normal vessel to go from and a target vessel to go to, and then need a conduit (vein or graft) to bridge the two. Ask the doctor to explain why your mom is not a candidate for surgery.
Sure it can. Speak with a vascular surgeon. The indications are clear if surgery is needed. In general, asymptomatic PAD doesn’t need treatment. Aneurysms need to be managed, though.