Peripheral Artery Disease (PAD) Treatment in Rancho Cucamonga & Greater Los Angeles

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Treatment Options for Peripheral Artery Disease (PAD)

The treatment for peripheral arterial disease (PAD) focuses on reducing symptoms, preventing progression of the disease, and lowering the risk of non-healing wounds, infections, tissue loss, and possible amputation. Treatment typically involves a combination of lifestyle changes, medications, and sometimes procedures or surgery. Here are the main categories of treatment:

Lifestyle Changes

These are considered a cornerstone of PAD treatment:
Heart-Healthy Diet:

Adopting a diet low in saturated and trans fats, sodium, and added sugars—such as the DASH or Mediterranean eating plans—can help manage conditions like high cholesterol, high blood pressure, and diabetes, which contribute to PAD.

Smoking Cessation:

Quitting smoking is the most important lifestyle change, as smoking is a major risk factor and significantly worsens PAD.

Foot Care:

As PAD reduces blood flow to the feet, meticulous foot care is crucial to prevent non-healing wounds, ulcers and infections.

Exercise:

A regular exercise program, often involving walking, is highly effective for improving symptoms like claudication (leg pain with exercise). Supervised exercise therapy (SET) is often recommended. A typical regimen involves walking until moderate pain is felt, resting until the pain subsides, and then walking again, repeating the cycle for 30 to 50 minutes, at least 3 times a week.

Weight Management:​

Achieving and maintaining a healthy weight can help manage PAD risk factors.

Medications

Medications are primarily used to manage risk factors and prevent complications:

Antiplatelet Medicines:

To help prevent blood clots and reduce the risk of major adverse limb events. Examples include aspirin or clopidogrel (Plavix).

Cholesterol-Lowering Medicines (Statins):

To lower LDL ("bad") cholesterol and slow the progression of plaque buildup in the arteries.

Blood Pressure Medicines:

(e.g., ACE Inhibitors or ARBs): To lower blood pressure and prevent blood vessels from narrowing.

Symptom Relief Medicines:

Medications like cilostazol can be prescribed to improve walking distance and decrease leg pain (claudication).

Anticoagulants (Blood Thinners):

In some cases, a low-dose anticoagulant like rivaroxaban may be added to aspirin to further reduce the risk of major adverse limb events.

Procedures and Surgery

For more severe PAD or when symptoms are not adequately managed by lifestyle changes and medications, a procedure may be necessary to restore blood flow:

Angioplasty and Stenting:

A minimally invasive procedure where a catheter with a small balloon is inserted into the blocked artery. The balloon is inflated to compress the plaque against the artery wall and widen the artery. In some cases, the insertion of a stent is required to help keep the artery open. Stents are either balloon-expandable or self-expanding metallic scaffolds or drug-eluting stents that remain permanently in the blood vessel after implantation.

Atherectomy:

A procedure using a specialized catheter with a rotating blade or sanding burr, or laser to remove plaque from the artery wall. This minimally invasive procedure uses a catheter to reach the site of the blockage. There, a small blade or sanding burr, or laser or laser is deployed to remove the arterial plaque. The catheter captures the collected plaque in a chamber of the tip or the sanding burr, and the laser releases plaque into the bloodstream ,which is removed by the body. This process can be repeated to treat additional plaque.

Bypass Surgery:

A surgical procedure that creates a new path (bypass) for blood flow around a significantly blocked artery, often using a vessel from another part of the body or a synthetic graft. This is typically reserved for more advanced cases, such as critical limb ischemia.

Thrombolytic Therapy:

If a blood clot is the cause of an acute blockage, medication to dissolve the clot may be delivered directly into the artery to resolve the blood clot or it can be removed by suctioning the blood clot (thrombectomy).

Our Approach

We specialize in treating Peripheral Artery disease with a focus on patient safety, comfort, and personalized care. Our team of experienced doctors are experts in the field, utilizing state-of-the-art imaging technology and techniques to deliver exceptional outcomes for our patients.

Patient-Centered Care

We understand that considering treatment options for chronic leg pain can be daunting. Our compassionate healthcare team is here to guide you through every step of your journey, from initial consultation to post-procedure follow-up care. We prioritize clear communication, education, and patient empowerment to ensure you make informed decisions about your health.

Contact Us

Schedule a consultation with our experienced team at Innovative Minimally Invasive Imaging. We are committed to providing you with personalized care and helping you achieve pain relief and improve your quality of life.

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