PAD Senior Woman Leg Pain

Atherectomy for PAD in NY and NJ

At American Endovascular, we specialize in minimally invasive PAD treatments, including atherectomy procedures for patients in New York and New Jersey. If you’re experiencing blocked arteries due to peripheral artery disease (PAD), an atherectomy may be the solution to restore blood flow to your legs. 

Atherectomy is a minimally invasive procedure used to treat blockages in arteries caused by plaque buildup. During the procedure, a special catheter with a rotating blade or laser is used to remove or shave off the plaque from the artery walls, restoring blood flow. This procedure is commonly performed to treat PAD to help remove plaque and open narrow or blocked arteries, improving PAD symptoms.

Benefits of Atherectomy Procedure

Atherectomy procedures are an extremely effective mininally invasive treatment for PAD, especially when combined with lifestyle changes, such as eating healthier and regularly exercising. Unlike traditional surgery, an atherectomy procedure also offers the following advantages:

  • Effectively helps restore blood flow 
  • Improves circulation
  • No hospital stay 
  • No major incision 
  • No scarring
  • Same day procedure 
  • Shorter recovery time

Candidates for Atherectomy

Patients who have been diagnosed with PAD and have calcified or hardened plaque that cannot be effectively treated with other methods, such as balloon angioplasty or stenting, are candidates for an atherectomy procedure.You may be a good candidate for an atherectomy if you’re also experiencing the following PAD symptoms:

  • Muscle pain and numbness in the feet or legs
  • Calf pain while walking that goes away with rest
  • Sores or wounds on the legs or feet that won’t heal
  • Poor circulation in the legs or feet 
  • Leg and foot and/or toe discoloration 
  • Weakness in the legs, feet, or toes
  • Legs, feet or toes feeling cold

How to Prepare for Atherectomy Procedure

Before your atherectomy procedure in NY or NJ, one of our affiliated vascular specialists will talk to you about what to expect before, during, and after your procedure. Preparation for atherectomy may involve the following:

  • Overview of family and medical history
  • Routine blood work and imaging tests (ultrasound or MRI)
  • Telling your doctor about any allergies to medications or contrast dye
  • Refrain from taking blood thinning and NSAID medications prior to procedure
  • Not eating or drinking for at least 6 hours prior to surgery
  • Arranging for someone to drive you home after the procedure
PAD
Schedule an Appointment

Schedule an Appointment at your nearest American Endovascular affiliated center.

How is the Atherectomy Procedure Performed?

The atherectomy procedure involves the following steps:

  1. Anesthesia: The procedure is typically performed under local anesthesia or mild sedation to keep you comfortable. You will remain awake but relaxed during the procedure.
  2. Catheter Insertion: A catheter is inserted through a small incision, often in the groin, and guided to the site of the blockage using real-time X-ray imaging.
  3. Plaque Removal: A specialized catheter with a rotating blade, laser, or other devices is used to remove or shave off the plaque from the artery walls.
  4. Final Imaging: After plaque removal, the artery is re-examined with imaging to ensure that blood flow is restored.

The procedure typically takes 1-2 hours, depending on the complexity of the blockage.

Depending on the stage of PAD, your vascular specialist may use different types of blades or use lasers to remove plaque:

  • Excisional atherectomy: A blade attached to the catheter cuts plaque buildup in one direction.
  • Orbital atherectomy: A spinning blade on the catheter’s tip grinds away the plaque like sandpaper.
  • Rotational atherectomy: Tiny blades with diamond chips rotate in a circular motion to crush plaque up into microscopic particles.
  • Laser ablation atherectomy: A high-energy laser attached to the catheter destroys and vaporizes plaque buildup in the arteries.

Your specialist may repeat this process several times until enough plaque is removed so that blood can flow freely through your arteries.

PAD Close Up of Woman's Legs

Atherectomy Recovery Time

After the procedure, you’ll be monitored for a few hours to ensure there are no immediate complications. You may experience mild soreness or bruising at the incision site. However, recovery from atherectomy is generally quick, with patients going home on the same day. Patients can also resume light activities within a few days, but strenuous physical activity or heavy lifting should be avoided for at least 1-2 weeks. The recovery time for atherectomy is generally shorter than for more invasive procedures, making it an excellent option for those looking for a faster recovery.

What to Expect After Atherectomy

After an atherectomy procedure, many patients experience improved blood flow to their legs and immediate relief from their symptoms, such as leg pain, cramping, and numbness. However, to ensure long-term health and the success of your procedure, your doctor may schedule regular checkups at one of our outpatient centers in New York or New Jersey to monitor your arteries to ensure the plaque does not build up again.

Your vascular specialist may also recommend lifestyle changes and prescribe blood-thinning medications to help with the recovery process for your post-procedure care. It is important to follow their recommendations for lifestyle adjustments to help with your recovery, which may include avoiding heavy lifting, strenuous exercise, foods high in sodium and sugar, smoking, and secondhand smoke.

PAD Leg Pain Closeup

Why Choose American Endovascular for Atherectomy Procedures?

At American Endovascular, we are a trusted name in minimally invasive PAD treatments in New York and New Jersey. Our team of vascular specialists has years of experience performing atherectomy procedures with excellent outcomes. We use the latest imaging technology to perform precise and effective atherectomy procedures, ensuring the best results for our patients, developing a tailored treatment plan for their needs. Our affiliated vascular specialists are not only recognized as top experts for performing atherectomy procedures, but are also celebrated nationally as pioneers in Amputation Prevention and Endovascular & Interventional Radiology.

Our Vascular Specialists in NY and NJ

At American Endovascular, our vascular specialists in New York and New Jersey are dedicated to providing the highest level of care to our patients. We focus on using minimally invasive techniques, such as atherectomy, to improve blood flow and alleviate symptoms of PAD. Our team is committed to helping you regain your mobility and improve your quality of life.

Our Vascular Centers in NY & NJ

We are proud to offer convenient locations across New York and New Jersey. Whether you’re in New York City, Long Island, Northern NJ, or other surrounding areas, our state-of-the-art vascular centers are here to serve you. Each affiliated center offers atherectomy procedures and is equipped with the latest imaging and diagnostic technology to provide you with the best possible care for your PAD symptoms.

Brooklyn, NY
71 Carroll Street
Brooklyn, NY 11231
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Harlem, NY
505 East 116th Street
Harlem, NY 10029
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Queens, NY
30-30 Northern Blvd
Suite 501
Queens, NY 11101
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West Orange, NJ
347 Mount Pleasant Avenue
Suite 100
West Orange, NJ 07052
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What Our Patients Are Saying

Dr. Shams Such a amazing vascular Surgeon knows him a little while, he knows exactly what should be done to makes everything better, I’m very satisfied with my procedure and also his work ethic, the vascular office included everything inside is a 5 Star luxury, thank – you to all the staff . MoniqueV Francois.
MoniqueV Francois
MoniqueV Francois
18:02 24 Mar 25
Looking forward to my next appointment!
Dr shams is amazing along with his team they make you feel at home.
Angela Poueriet
Angela Poueriet
15:19 27 Feb 25
Excellent consultation. Answered all questions.
Nichelle Abney
Nichelle Abney
20:39 25 Feb 25
Excelente Dr y su equipo medico, información claro que lo que a uno como paciente está experimentado altamente recomendado
A ñ Ivan Yanez
A ñ Ivan Yanez
17:51 13 Feb 25
I Just Love The Doctors And All The People Friendly Staff. Everyone is Caring, Warm, Personable And Professional. They Are The Best🩷
Shirley Monroe
Shirley Monroe
02:00 04 Feb 25
Excellent work
Javier Acevedo
Javier Acevedo
16:34 17 Jan 25
I Like The Doctor and all his Staff, everyone in the Office where Very Professional
Dolphus Fudge
Dolphus Fudge
18:28 04 Dec 24
Love this Dr and staff. They are all kind courteous and professional with excellent medical care. I would highly recommend them to anyone in need.
Sybil Wilkins
Sybil Wilkins
13:05 05 Sep 24
Professional and friendly from my phone call to make an appointment to my visit I felt I was is safe hands not just a number. Everyone was knowledgeable and explained the procedures.
James Mullen
James Mullen
19:47 17 Aug 24
Dr David Mobley was kind right to the point. Explained & solved my issue. The whole staff is professional.
Lizette
Lizette
17:52 03 Aug 24
It’s personal
Ricot Charlot
Ricot Charlot
10:57 03 Jul 24
Sheer perfection. The care and expertise and teamwork are the best I have ever experienced. I’m a former nurse and I recognize and give a shout out to the best!!!!
Barbara Murray
Barbara Murray
16:22 02 May 24
First Impressions are lasting impressions! First, the staff are phenomenal! How is it possible that each and every one of them are incredibly kind, caring, professional, personable and treat you like you are THE most important person in the world!? Well, meet this team for an experience that will make you feel valued as a person, not just as a patient. In walks this amazing Doctor and now you understand why his team are the way they are! They regard each other with the utmost respect, and kindness, and they communicate with each other like family. And as a new patient, I had the honor and pleasure to experience excellence in patient care and concern. I am so very grateful to have found a Doctor who is in my opinion perfect with a team who are exceptional! I’m excited for my next visit, honestly! I write this with a great big Smile on my face!
CC
CC
14:57 24 Apr 24
EXCELLENT, EXCELLENT, EXCELLENT ALL AROUND!!! THANK YOU!!!
Marion Moore
Marion Moore
13:44 17 Apr 24
Excellent, professional, organized and efficient all best describes the service here.
Delsi Cunningham
Delsi Cunningham
17:28 05 Apr 24
Very nice and friendly staff.I was so nervous, they all made me feel relaxed and comfortable.They explained everything to me step by step.
Keith Dickens
Keith Dickens
13:10 02 Apr 24
Excelente servicio es lo mejor que me a pasado gracias a sus buenos tratamiento ya no tengo dolor
The staff are the best. Very elated,with the exceptional care,professionalism, and genuine concern, displayed by all the staff.
Constance Sidberry
Constance Sidberry
03:50 17 Mar 24
I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
Yes it was a good place
Carmen Diaz
Carmen Diaz
14:22 20 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Is good to be with friendly and professional staff at doctor’s offices like this one.
Dr. Joseph Sham and the entire Team were very professional, knowledgeable, informative and had incredible patience with me by answering all my questions and concerns. Great Team…Thank you all! 👍
Marion
Marion
22:17 27 Dec 23
I was treated very well. The staff was very professional and made me feel comfortable. Looking forward to my next visit.
Stephen Lapinsky
Stephen Lapinsky
20:17 20 Dec 23
This experience was great I’m so happy with everything
stephanie suazo
stephanie suazo
22:53 13 Dec 23
I love this place stuff is helpful an they all were nice. I had a wonderful experience Dr Shams was great.
Victoria Pacheco
Victoria Pacheco
22:07 17 Nov 23
Professional services
Ricky Mo
Ricky Mo
22:14 15 Nov 23
I like the doctor they were kind of pretty thorough he says that he could help me he found out the filter in my abdomen from the surgery I had in 1996 has been clogging my blood flow for 25 years and that’s causing the swelling at every other doctor told me was lymphedema it was not lymphedema it caused the lymphedema because no other doctor took the time or care enough to find out the reason for my leg swelling this doctor was the only one who finally found out and he’s going to see if you could put a stent inside the filter to open it up and and stop my legs from swelling hopefully this will all go good it hasn’t happened yet but I’ll keep you posted thankful for this docto I just pray and hope that it works otherwise I like the doctor very much
Mitchell Dedios
Mitchell Dedios
21:01 27 Oct 23
Excellent service , good customer service and friendly staff. Thanks
Raysa Polanco
Raysa Polanco
20:54 27 Oct 23
You may likely have to wait. Avoid anxiety and frustration. Schedule extra time for the visit. Allow for personal attention to your care needs once in the examination room. Friendly, nice staff and doctor puts you at ease. Bottom line: worth the wait!
Sisle
Sisle
21:49 26 Oct 23
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
I was given good advice about my blood circulation
Emma Bb
Emma Bb
17:04 08 Oct 23
Dr. Shams office is amazing. Whitney and Angela were AMAZING. Great sense of humor. Staff is WONDERFUL.
Sara Correa
Sara Correa
21:13 18 Sep 23
Nice office, personnel friendly, & caring, good informative information concerning my care.
Loretta Johnson
Loretta Johnson
21:26 22 Aug 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
Dr Shams was very attentive and explained everything in detail. The staff was very nice, the staff/nurse were all so very helpful, It was a Monday morning and I didn’t expect such happy staff.
Stacy Lebeau
Stacy Lebeau
21:22 06 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Super friendly, tentative, once in the procedure rm the sx staff made you feel comfortable, easy,+ answered all questions. David mobley, MD answered all my questions, very informative, caring. I felt confident in his care
Thais Bini
Thais Bini
21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
Good service!
Veronika Shopina
Veronika Shopina
21:09 24 May 23
There is a friendly atmosphere, fast medical attention and an advanced medical equipment !!!The Staff is very knowledgeable and the best care possibly !!!100 % Satisfied !!!
Cruz Figueroa
Cruz Figueroa
03:06 08 May 23
Whole staff was very friendly and professional. I feel confident that I came to the right place for treatment.
Rudy Padilla
Rudy Padilla
02:08 13 Apr 23
The best in Astoria I recommend Dr mobley and staff 100 percent
michaela1951
michaela1951
21:25 30 Mar 23
Knowledgeable , experienced, great bed side manners
mohamed hamed
mohamed hamed
10:09 30 Mar 23
I am pleased w/my experience @ endovascular. I hope they can save my foot.
Margo A Williams
Margo A Williams
19:19 29 Mar 23
This has been the best medical experience I’ve had in over thirty years. I was nervous to have a procedure after only knowing about my condition a year ago. They made this process so easy for me that I’m in shock that I had no pain, no discomfort thanks to an excellent doctor and professional staff! Thank you all and best of luck to your practice.
Stacey Marius
Stacey Marius
14:16 29 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
Excellent, Patience, don’t Rush you to be finished. The Doctor explains everything and answers your questions. I would Recommend Dr.Sham service anytime, they are. Great!
Debra Farmer
Debra Farmer
00:16 01 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Very good and very responsive.
James Young
James Young
19:33 22 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
Everything always goes well.staff are very caring.
Lillian Rodriguez
Lillian Rodriguez
19:00 11 Dec 22
Excellent Doctor he explains the procedure process so that it is understandable and comfortable for the patient!
T. J.
T. J.
14:48 06 Dec 21
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