call 9:00 - 4:30pm M-F

Peripheral Arterial Disease

About Peripheral Arterial Disease (PAD)

Arteries carry blood rich in oxygen from the heart to the rest of the body.  When arteries become blocked, the legs do not receive enough blood or oxygen.  This condition is known as Peripheral Arterial Disease (PAD). One in 3 people age 70 or older has PAD. Smoking and diabetes increase your chances of developing this disease before age 70. Symptoms include:
• Leg pain with walking
• Foot pain in bed at night
• Foot sores that don’t heal

Dr. Golan treats PAD in various ways depending on the nature of the PAD:

1 – In many cases, PAD can be managed with medication and regular walking exercise.  In more severe cases, surgical treatment may be necessary.  Bypass surgery creates a detour around a narrowed or blocked artery, allowing blood to flow to the extremity.
2 – Dr. Golan may recommend endovascular angioplasty, stenting, or atherectomy of the artery.  During an angioplasty, a long thin catheter is inserted into the blockage. Once in place, a special balloon is inflated which pushes the plaque in the artery against the artery walls widening the vessel.  In some circumstances, a stent (a flexible tube) may be inserted to keep the artery open. During an atherectomy, the plaque is removed from the artery.

Similar to AAA repair, minimally invasive endovascular procedures are the trend in the treatment of PAD. However, in some patients bypass surgery is the best option for success. Dr. Golan’s thirty years of experience are the key to successful outcomes of these complex procedures.