The Peripheral Artery Disease (PAD) Program provides comprehensive diagnosis and treatment for patients with early to late progression PAD. The program was developed and is maintained by board-certified and fellowship-trained PAD experts who focus on managing symptoms and slowing down the progression of the disorder in partnership with a patient’s primary care provider.

PAD is a common problem of the circulatory system that results in the narrowing of the arteries, most often caused by the buildup of plaque in the arteries (atherosclerosis), and leads to reduced blood flow in the lower limbs. In severe cases, PAD can progress and lead to critical limb ischemia (CLI), causing pain, non-healing ulcers, and may result in the need for amputation.

Clinical Care and Services

  • PAD diagnostic services including ankle brachial index/pulse volume recordings and segmental pressures, plethysmography, transcutaneous oximetry, ultrasound, CT angiography, MR angiography, and peripheral angiography
  • Renal artery stenting for refractory hypertension
  • Peripheral angiography with angioplasty, stenting, intravascular lithotripsy, atherectomy for claudication or critical limb ischemia
  • Carotid stenting for carotid stenosis
  • Subclavian stenting for subclavian steal
  • Superior mesenteric artery (SMA) and inferior mesenteric artery (IMA) stenting for mesenteric ischemia

Program Candidates and Indications

Recognized risk factors for peripheral arterial disease parallel those related to coronary artery disease and include:

  • Tobacco use
  • Elevated blood pressure (hypertension)
  • Elevated cholesterol levels (dyslipidemia)
  • Diabetes mellitus
  • Obesity
  • Men and women age 65 and older without other risk factors; age 50 and older with presence of risk factors
  • Family history of peripheral arterial disease, coronary artery disease, or cerebrovascular disease

In consideration of recognized risk factors, the following groups of patients should be evaluated and screened for PAD:

  • Any patient with symptoms suggestive of PAD presence
  • Patients age 65 and older without recognized risk factors
  • Patients age 50 and older with recognized PAD risk factors; especially in the setting of diabetes mellitus presence

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