Treatment FAQ

who is an expert at clevland clinic on itravascular treatment of pad

by Olga Walker IV Published 2 years ago Updated 2 years ago

How can I connect with Cleveland Clinic specialists from anywhere?

You can connect with Cleveland Clinic specialists from any location in the world via a phone, tablet, or computer, eliminating the burden of travel time and other obstacles.

Why choose a vein center at Cleveland Clinic?

At Cleveland Clinic’s Vein Centers our staff has vast experience in treating all types of vein problems, ranging from common spider veins to the most complex vein conditions.

What kind of doctors are at Cleveland Clinic?

The team includes physicians and nurses from Cardiovascular Medicine, Rheumatology, Infectious Disease, Oncology, Radiology and Cardiothoracic Surgery with expertise in diagnostic testing, medical management and surgical procedures for patients with: Why choose Cleveland Clinic for your care? Our outcomes speak for themselves.

Where can I get more information about PAD?

For questions or more information about PAD, call the Miller Family Heart, Vascular & Thoracic Institute Resource and Information Center Nurse at 216.445.9288 or toll-free 866.289.6911. For an appointment with a Cleveland Clinic women’s heart or vascular specialist, call toll-free 800.223.1696 or locally, 216.444.9343.

Do cardiologists deal with peripheral artery disease?

There are many reasons why cardiologists should care about PAD in their cardiac patients but unfortunately, cardiologists tend to focus upon atherosclerosis of the coronary arteries and PAD is inadequately addressed in most cardiology training programmes.

Does a vascular surgeon treat PAD?

Yale Medicine vascular surgeons personalize their care for people with PAD by drawing from a toolbox of treatments that includes both traditional bypass surgeries and the latest minimally invasive endovascular approaches. These approaches use tiny instruments inserted into arteries and veins through small incisions.

What is the best treatment for peripheral artery disease?

Physical Activity. An effective treatment for PAD symptoms is regular physical activity. Your doctor may recommend supervised exercise training, also known as supervised exercise therapy (SET). You may have to begin slowly, but simple walking regimens, leg exercises and treadmill exercise programs can ease symptoms.

Can you correct peripheral vascular disease?

There's no cure for peripheral arterial disease (PAD), but lifestyle changes and medicine can help reduce the symptoms. These treatments can also help reduce your risk of developing other types of cardiovascular disease (CVD), such as: coronary heart disease.

What type of doctor can diagnose PAD?

You might first visit your family care provider. You may be referred to a doctor who specializes in disorders of blood vessels (vascular specialist) or a doctor trained in heart diseases (cardiologist).

What type of doctor treats vascular issues?

Since vascular disease is a relatively common problem, there are many physicians who treat vascular disease. These include family practitioners and general internists, cardiologists, neurologists, nephrologists, radiologists and vascular surgeons.

Are there any new treatments for PAD?

About half of people who have PAD are asymptomatic, but whether or not it causes symptoms, PAD can indicate systemic atherosclerosis and an increased risk for heart disease and stroke. Many new devices, and new generations of older devices, are now available for less invasive, endovascular treatment of PAD.

What is the life expectancy of someone with peripheral artery disease?

If left untreated, PAD can result in the need for a major amputation of the foot or leg. This is most concerning because the life expectancy for 60% of PAD amputee patients is only 2 to 5 years.

What vitamin is good for hardening of the arteries?

Vitamin C helps vitamin E work better in your body. It also improves the way your arteries work. Together, these two vitamins help protect your arteries from oxidized cholesterol.

Who performs abi?

A technician takes your blood pressure in both of your arms using an inflatable cuff, similar to the one used in the doctor's office. The technician also measures the blood pressure in the ankles. The doctor uses these values to compute your ABI.

What kind of doctor treats poor circulation in legs?

A vascular physician will diagnose any conditions, prescribe any medications you might need, and formulate an actionable treatment plan for managing your poor circulation. You may require medication or procedures to treat your conditions, but your doctor will also recommend lifestyle changes.

How can I increase blood circulation in my legs?

Six Tips for Improving Blood Circulation in LegsWalking. Walking is a simple, low-impact exercise that can help you create a more active and healthy lifestyle and may promote weight loss. ... Stretching. ... Position Your Body. ... Wear Compression Stockings. ... Stop Smoking. ... Manage Your Stress Levels.

What is compression therapy?

Compression therapy, or the use of compression stockings, is an important part of care for chronic venous insufficiency, varicose veins and spider veins.

How does sclerotherapy work?

Sclerotherapy is a simple procedure that eliminates spider veins and some varicose veins by injecting the affected vein with a “sclerosing agent” solution that causes them to collapse and disappear . Most sclerotherapy patients experience significant clearing of the veins and positive results.

What is the best treatment for varicose veins?

Surgical options – Surgery may be the best treatment when varicose veins are severe and associated with problems such as bleeding, or symptoms including pain or swelling. Several surgical treatments are available. Surgical treatments are performed in the hospital or outpatient setting by a vascular surgeon.

How long does it take for spider veins to heal?

In general, spider veins respond to treatment in three to six weeks, and larger veins respond in three to four months. Sclerotherapy can eliminate the pain and discomfort of varicose veins and helps prevent complications such as venous hemorrhage and ulceration. It is also frequently performed for cosmetic reasons.

What is the goal of vein treatment?

The goal of any vein treatment procedure is to reduce the symptoms and pain, prevent future thromboembolic (blood clotting) complications, and improve your overall appearance. We work to solve the problem correctly the first time and avoid any recurrence.

Is spider vein surgery invasive?

A: Generally, varicose vein and spider vein treatments are minimally invasive or superficial in nature, so they involve minimal discomfort. To ensure a relaxed and comfortable experience, some procedures include the use of antianxiety medication and local anesthesia to numb the treatment area.

Dermatology Specialty Areas

The Department of Dermatology includes more than 30 dermatologists who offer a full array of subspecialized care for adult and pediatric patients. Our physicians provide expert diagnosis and treatment of all disorders of the skin, hair and nails, whether primary or related to an underlying systemic illness, including industrial-related conditions.

Industrial Dermatology

Our dermatologists provide specialized evaluations for patients with possible allergic contact dermatitis from substances such as nickel, rubber, cosmetics, medicaments or resins.

What is the Cleveland Clinic Center for the Diagnosis and Treatment of Pericardial Diseases?

Cleveland Clinic Center for the Diagnosis and Treatment of Pericardial Diseases is a multidisciplinary specialty treatment group dedicated to the diagnosis and treatment of pericardial diseases—whether it is acute (develops suddenly), chronic (persistent) or recurrent (comes back). Pericardial disease includes a group of conditions that affect the pericardium, the double layered sac that surrounds the heart.

How long do you need to stay at Cleveland Clinic for pericardial disease?

How long will you need to stay at Cleveland Clinic? To complete all testing, you will need to stay in the Cleveland area for 1 to 2 days. After your visit.

Who interprets pericardial imaging?

All imaging tests will be interpreted by imaging specialists within the Center for the Diagnosis and Treatment of Pericardial Diseases. Some patients will also be scheduled for a specialized cardiac catheterization which will be performed by a hemodynamic diagnostic specialist with the Center.

What are other specialties?

Other Specialties. Other specialties are often needed to assist in confirming a diagnosis or treating an underlying or associated condition. These medical professionals are experts in their field and have a particular specialty interest in the treatment of pericardial diseases. Rheumatologic and Immunologic Disease.

What is thrombolytic therapy?

Thrombolytic therapy uses drugs designed to dissolve clots and restore normal blood flow. Your physician will inject a clot-dissolving medication into a blood vessel. A catheter (a long, thin tube) may also be used to deliver the medication or to break up the clot. This is not a common treatment for this disease.

How to contact Miller Family Heart and Vascular Institute?

If you need more information, contact us, chat online with a nurse or call the Miller Family Heart and Vascular Institut e Resource & Information Nurse at 216.445.9288 or toll-free at 866.289.6911. We would be happy to help you.

What is the surgical treatment for ischemic syndrome?

Visceral ischemic syndrome surgical treatment may be performed to remove plaque (atherectomy/endarterectomy), bypass the blocked vessel to restore blood flow to the intestines, or remove or repair an aneurysm.

How to bypass a blockage in a vein?

To bypass the blockage, the surgeon makes a small opening just below the blockage in the diseased artery and places a graft, which is either a portion of one of your veins or a man-made synthetic tube . The surgeon will connect the graft above and below a blockage to allow blood around the blockage.

What is the heart and vascular department?

The following Heart and Vascular Institute Sections and Departments treat patients with all types of vascular disease , including blood clotting disorders: Section of Vascular Medicine: for evaluation, medical management or interventional procedures to treat vascular disease.

What is IVL in vascular therapy?

IVL is designed to modify both intimal and medial calcium across a wide range of vascular applications to increase vessel compliance, restore vessel mobility and provide new versatile treatment options for patients.

What is IVL in medical terms?

Intravascular lithotripsy (IVL) is a technology derived from renal lithotripsy, in which multiple emitters mounted on a traditional balloon catheter provide circumferential pulsatile energy to disrupt calcified plaque and improve acute gain while minimizing vessel injury. 1

Is IVL safe for calcified vessels?

IVL is a unique treatment method, which has been demonstrated to be both safe and effective in treating heavily calcified vessels in the coronary and peripheral vasculature. Although it is only approved in peripheral vascular interventions in the U.S., the pivotal U.S. study investigating its use for coronary intervention is currently ongoing.

Why is it important to know if you have PAD?

A correct diagnosis is important because people who have PAD are at higher risk for coronary heart disease (CHD), heart attack , stroke, and transient ischemic attack ("mini-stroke"). If you have PAD, your doctor may also want to check for signs of these diseases and conditions.

How old do you have to be to get PAD checked?

Even if you don't have signs or symptoms, ask your doctor whether you should get checked for PAD if you're: Aged 70 or older. Aged 50 or older and have a history of smoking or diabetes.

What does PAD mean in diabetes?

PAD usually affects the arteries in the legs, but it also can affect the arteries that carry blood from your heart to your head, arms, kidneys, and stomach. As with clogged arteries in the heart, PAD raises the risk of heart attack, stroke, and even death. Diabetes patients tend to develop vascular disease especially in the peripheral arteries ...

How to reduce the risk of atherosclerosis?

Routine physical activity can improve PAD symptoms and lower many risk factors for atherosclerosis, including LDL (“bad”) cholesterol, high blood pressure, and excess weight. Exercise can improve the distances you can comfortably walk.

Is PAD a serious disease?

PAD increases your risk of coronary heart disease, heart attack, stroke, and transient ischemic attack ("mini-stroke"). Although PAD is serious, it's treatable. If you have the disease, see your doctor regularly and treat the underlying atherosclerosis. PAD treatment may slow or stop disease progress and reduce the risk of complications. Researchers continue to explore new therapies for PAD.

Pathophysiology

  • Healthy arteries have a smooth lining that prevents blood from clotting and promotes steady blood flow. In PAD, the arteries slowly become narrowed or blocked when plaque gradually forms inside the artery walls. Plaque is made of excessive fat, cholesterol and other substances floatin…
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Causes

  • Your arteries are shaped like hollow tubes. Inside, they are smooth and elastic, allowing blood to flow freely. Peripheral arterial disease starts when fatty deposits start streaking the blood vessel walls. The fatty matter builds up. This causes slight injury to your blood vessel walls. In an attempt to heal itself, the cells release chemicals that make the walls stickier. Other substances …
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Signs and symptoms

  • Pain or discomfort in the legs is a common symptom of a disease called peripheral arterial disease (PAD). Up to 8-12 million Americans have PAD. Peripheral arterial disease is atherosclerosis that develops in the arteries of the legs or, less commonly, the arms. Like atherosclerosis in the heart (coronary) arteries, PAD is caused by the accumulation of fatty plaq…
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Risks

  • The dangers of PAD extend well beyond difficulties in walking, and the consequences can be far worse than missing a shopping trip or golf game. Peripheral artery disease increases the risk of developing a non-healing sore of the legs or feet. In cases of severe PAD, these sores can develop into areas of dead tissue (gangrene) that ultimately require amputation of the foot or leg. Other r…
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Symptoms

  • PAD can build up over a lifetime, and the symptoms may not become obvious until later in life. For many people, the outward symptoms will not appear until the artery has narrowed by 60 percent or more. The first noticeable symptom of PAD may be intermittent claudication -- leg discomfort, pain or cramping that develops with activity, is relieved with rest, and recurs upon resuming acti…
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