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How to Treat PAD

Medications

  • Blood thinners
    • Aspirin
    • Plavix
    • Pletal
    • Xarelto
  • Cholesterol therapy
    • Statins
    • PCSK9 inhibitors
    • Zetia
    • Vascepa
  • Blood pressure control

Diabetes management

  • Goal A1C <7
  • Newer agents may have some cardiovascular benefit

Smoking cessation

  • Smoking cessation clinic
  • Chantix, Wellbutrin, Patches, Hypnosis

Exercise

  • A three month exercise program can be as effective in improving symptoms as a stent

Surgery

  • Endarterectomy (removal of plaque)
  • Bypass (new vessel around the plaque)

Minimally invasive interventions

  • Stents
  • Drug coated balloons
  • Atherectomy (shavers, drills, lasers)

Minimally invasive procedures to fixed blocked arteries

Treatment can typically done as an all-day outpatient procedure. The preparation takes about an hour and the procedure spans 1-2 hours. Recovery takes about 4-6 hours.

Procedures are done with light sedation as very small tubes are inserted in the arteries and contrast (x ray dye) is used to see blockages. Through these very small tubes, the blockages are moved with a balloon and then held open with a stent.

Symptoms can improve immediately. Blood thinners such as aspirin and Plavix are needed for some time to help protect the stents from clots. Follow up testing is typically done in a month to confirm that the blockage is gone.

Learn more about our locations and providers offering care.