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Understanding Your PAD Treatment Options

February is recognized as American Heart Month. It seems only natural to focus on your cardiovascular health during this time of valentines and declarations of heartfelt love. But what does peripheral artery disease (PAD) have to do with your heart health? Quite a bit.  

Dr. Daniel Morris is a triple board-certified surgeon with a thriving practice in Decatur, Texas -- Lonestar Surgical Specialists. He’s well-known and widely respected for his skill as a surgeon and his expertise in treating PAD. Dr. Morris is happy to provide some insight regarding PAD, how it relates to your heart health, and what balloon angioplasty and stenting can do for PAD.  

What is PAD?

Peripheral arteries carry oxygenated blood to your arms, legs, and vital internal organs. They’re a vital part of your circulatory system, whose manager is the heart. PAD occurs when these arteries narrow or become blocked and fail to supply enough oxygenated and nutrient-rich blood to your limbs.

Caused by fatty deposits (plaques) lining artery walls, PAD is often a warning sign that other vital arteries are at risk for a widespread plaque buildup, including those that feed your heart and brain.

Symptoms of PAD

Physical signs associated with PAD typically start slowly and worsen over time as the disease progresses. Related to lack of circulation and limited blood supply, the symptoms most often occur in the lower extremities and may include:


Untreated PAD can eventually lead to infections with tissue death (gangrene) that may require limb amputation.

Treatment options for PAD

If thorough evaluation has established your PAD diagnosis, Dr Morris encourages a comprehensive wholistic treatment program. This would include addressing the risk factors causing arterial disease such as chronic nicotine use, diabetes, hyperlipidemia, and hypertension.  Modifying your risk factors is essential to slowing the progression of PAD.  Dr. Morris will work with your primary care and specialty physicians in an effort to optimize these factors.  Medications, lifestyle changes, and a structured exercise program are vital components to improving your health. These treatments are considered "conservative" when compared to surgery.

If conservative treatment is not sufficient to relieve symptoms then surgery may be necessary. Traditional "open" surgery treatments for PAD include endarterectomy or bypass. These treatments are very effective but may carry more risk of complication since deeper anesthesia is required and incisions are needed to complete the operation.

Less invasive techniques continue to emerge and evolve over the past 4 decades. These " endovascular " surgeries are minimally invasive and can be performed with conscious sedation medicines. This allows much more rapid return to work and activity. A variety of devices can be delivered to arterial blockages through small punctures into the access artery. The devices are guided or tracked over a guide wire under XRay. Endovascular surgery techniques today include:

Dr. Morris can perform all endovascular procedures in either hospital or private office-based surgical suite depending on your preference. You’ll spend a few hours in a comfortable recovery room so we can monitor you closely before sending you home to rest and recuperate. Dr. Morris will provide complete instructions regarding aftercare, which may include taking it easy and restricting heavy lifting for a few days.

Don’t ignore the signs and symptoms of PAD. Schedule an appointment at Lonestar Surgical Specialists today. Remember - only a Vascular Surgeon can offer both proven traditional vascular surgery as well as minimally invasive treatments. Call our office or book your visit online by clicking the “request appointment” button. Dr Morris will customize an evidence-based treatment plan to match your needs.

Author
Daniel Morris DO, FACOS Dr. Morris is President & CEO at Lonestar Surgical Specialists PA. He is triple board certified in Vascular Surgery, General Surgery, & Critical Care Surgery. He has over 30 years of surgical experience with expertise in the fields of vascular surgery, general surgery, and cosmetic surgery. His surgical interests focus on using cutting edge technologies such as minimally invasive surgery to restore &/or maintain optimal body function.

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