- April 8, 2021
- Posted by: cmcdonald
- Categories: PAD Video, Video Library
Q: If a patient needs a procedure with American Endovascular, what can they expect?
A: When I started my training, most treatments for Peripheral Vascular Disease required bypass surgery. This is when a blood vessel is closed. In order to treat it, we have to create a new blood vessel channel to bypass the area of the blockage. Bypass surgery is usually performed with a synthetic piece of Teflon tube, sterile tube, or actual veins from the patient. We’d use this material to connect one artery piece to another artery piece. The problem with bypass surgery is that it’s a major operation. Patients require hospitalization for up to several weeks. If they have a history of cardiac disease or other problems, bypass surgery can induce a heart attack. Also, the patency rates, meaning how long the arteries stay open, are a concern.
However, over the past 20-25 years, we’ve developed and refined endovascular techniques which are now minimally invasive. Today we go directly into the blood vessels, either from the arm or the leg, and treat it internally—instead of having to do bypass surgery. This is all done in an outpatient setting and with minimal anesthesia, which is a twilight-type of anesthesia. The procedure takes about an hour to an hour and a half. The patient will lie down for two hours after the test and then go home. The patient may feel a little tired the next day, but otherwise, there’s basically no recovery.
More videos from the interview with Dr. Shams of the Lower Manhattan Endovascular Center as he outlines why patients with Chronic Kidney Disease are at a greater risk of developing Peripheral Arterial Disease.
- What is the prevalence of patients who have chronic kidney disease and Peripheral Arterial Disease?
- What are the symptoms of Peripheral Arterial Disease, and how do they typically present in someone who also has chronic kidney disease?
- Are chronic kidney disease patients at greater risk of developing progressive Peripheral Arterial Disease or Critical Limb Ischemia?
- Why should chronic kidney disease patients be concerned if they have Peripheral Arterial Disease?
- If a patient has chronic kidney disease and a non-healing wound, how quickly should they schedule a consultation?
- Why are American Endovascular’s doctors so successful in treating non-healing wounds in patients with chronic kidney disease, diabetes, and other conditions?