Vascular Clinic

What is PAD?

Peripheral Arterial Disease (PAD) occurs when plaque builds up inside the arteries of the legs, leading to narrowing or blockages that reduce blood flow. It’s essentially atherosclerosis—or “hardening of the arteries”—affecting the peripheral circulation, especially the legs.

This restricted blood flow can result in:

At Vascular Clinic, we help patients understand PAD in clear terms it’s like a clogged pipe cutting off circulation to your muscles and skin. We educate you about risk factors such as smoking, diabetes, high cholesterol, and high blood pressure, and how managing these can slow disease progression.

Our Mission: Limb Salvage

We are deeply committed to limb preservation. For patients with advanced PAD, our goal is always to restore circulation, promote healing, and prevent amputation whenever possible. Every case is unique, and we tailor your treatment plan based on your symptoms, anatomy, and goals.

Diagnostic Evaluation

To accurately assess PAD, we use:

Detailed clinical exam to assess pulses and symptoms
Ankle-Brachial Index (ABI) to compare leg and arm blood pressure
Vascular ultrasound to identify blockages
CT angiography to map arterial anatomy
Invasive angiography (in select cases) to visualize and treat in one setting

Conservative Management for Milder PAD

If you have intermittent claudication that’s manageable, we often start with:

Structured walking therapy (supervised or home-based) to build endurance.

Medication optimization:

We closely monitor your progress with serial clinic visits and non-invasive testing.

Treatment and Symptoms Infographics

When Intervention Is Needed

For patients with:

We move toward revascularization to restore blood flow.

Endovascular (Minimally Invasive) Procedures

Most PAD cases can be treated through small groin punctures, using catheter-based interventions such as:

These procedures:

Are performed under local anesthesia and light sedation
Require no large incisions
Are typically outpatient procedures
Allow return to normal activities within a few days
Promote ulcer healing and walking improvement without major surgery

All procedures are performed in our angiography suite or partner hospital vascular suites, using the latest tools and techniques.

Surgical Bypass for Complex PAD

For long or heavily calcified blockages that can’t be treated with catheters, we offer open surgical bypass. This involves:

Our team has extensive experience with limb-saving surgical bypasses, and we only recommend surgery when it’s the best option.

What to Expect

Before Treatment:

Detailed vascular imaging
Discussion of findings during your clinic visit
Explanation of risks and benefits of all options

During the Procedure:

Local anesthesia and mild sedation for endovascular cases
General anesthesia if bypass surgery is needed

After the Procedure:

Full wound care support if you have ulcers
Continued monitoring with ultrasound and clinic visits
Risk factor management to prevent recurrence

Frequently Asked Questions

Will my leg pain go away after the procedure?

In most cases, yes. Many patients can walk longer distances and heal foot wounds after successful revascularization.

Is surgery always necessary for PAD?

No. Most patients benefit from minimally invasive interventions, and we reserve surgery for complex or advanced disease.

Can PAD be cured?

While the underlying atherosclerosis can’t be reversed, we can restore blood flow and dramatically improve symptoms and quality of life.

Will I need lifelong follow-up?

Yes. PAD is a chronic condition, and regular monitoring helps catch recurrences early and maintain long-term success.

Why Choose Vascular Clinic?

Board-Certified Experts in Limb Salvage and Revascularization
Comprehensive PAD Diagnosis and Treatment Onsite
Minimally Invasive First Approach
Access to Advanced Tools for Complex Disease
Coordinated Care with Wound Care and Podiatry Teams

We don’t just treat blockages—we restore hope and mobility. Whether you’re struggling to walk or facing a non-healing ulcer, you’ll receive personalized care and expert treatment every step of the way.