PERIPHERAL ARTERY INTERVENTION

Peripheral artery disease is caused by a buildup of plaque in the peripheral arteries and can be uncomfortable, painful, and medically dangerous. Heart of Dixie Cardiology specializes in performing peripheral artery intervention to get you back to full health as soon as possible.

What is Peripheral Artery Intervention?

Peripheral artery intervention uses catheters to restore circulation and blood flow to the legs, arms, and other areas of the body. Similar to catheterization of heart disease, peripheral artery catheterization uses dye to image the arteries to find the blockage. Often, these blockages can be repaired by removing plaque, removing blood clots, and ballooning open and placing stents.

These interventions clear blocked arteries, eliminating pain and numbness and restoring blood flow beyond the blockage. This can frequently help wounds to heal by improving blood flow to the area. If peripheral artery disease goes untreated, it can lead to permanent damage and the need for amputation.

How Peripheral Artery Intervention is Performed

Peripheral artery interventions are minimally invasive outpatient procedures that don’t require a hospital stay. Patients should fast from food and water the night before the procedure and inform their cardiologist of all medications and supplements they are taking. Before the procedure begins, you’ll receive local anesthesia at the catheter incision site, usually in the upper groin, as well as a small amount of mild sedative to keep you awake but relaxed.

Your doctor will make a small cut at the incision site and insert a long, narrow tube called a catheter, which can be guided to the affected artery via a live x-ray feed. Once we’ve performed imaging to diagnose a problem and identify the affected area, we can employ several different types of intervention to restore blood flow in the peripheral arteries.

Peripheral Angioplasty

One common intervention is peripheral angioplasty. For this procedure, a small balloon is inserted at the end of the catheter. This balloon can be inflated to compress plaque against the sides of the artery, creating more room for blood to flow.

Peripheral Atherectomy

Another option is a peripheral atherectomy, which is where a small drill or blade is attached to the end of the catheter. These tools break up the plaque, which is carried away by the bloodstream, and the vessel is cleared.

Arterial Thrombectomy

A third type of intervention is called an arterial thrombectomy. In this procedure, a blood clot is removed from an artery via a special type of catheter that sucks the clot out.

With any of these interventions, a mesh metal coil or tube called a stent is frequently placed in the artery to prevent blockage from forming in the artery again.

After the Procedure

Following the procedure, you will have to lay flat to allow the catheter access site to heal and to prevent bleeding. You will be observed for a few hours after the procedure. Typically, you will be able to go home the same day as the procedure but will need somebody to drive you home. It is common to have minor bruising at the access site. Refrain from exerting yourself for about seven days. Walking is often beneficial, however.

  • Call your doctor if you experience excessive bleeding or swelling, swelling at the catheter incision site, numbness, dizziness, fever, weakness, or chest pain.
  • Your doctor may instruct you to take aspirin or other medications when you return home to keep blood clots from forming. Follow their instructions and don’t stop taking any medication on your own.
  • It’s important to note that peripheral artery intervention does nothing to address the cause of artery blockage. Lifestyle changes such as eating healthy foods, exercising regularly, reducing stress levels, and quitting smoking may help. If you’ve been prescribed medication for diabetes, heart disease, or cholesterol, take it as instructed by your medical professional.

Heart of Dixie Cardiology

Since 1997, Heart of Dixie Cardiology has provided residents of southern Utah and eastern Nevada with the best possible cardiovascular care. From prevention to diagnosis to treatment, our heart professionals provide high-quality, compassionate care across our locations in St. George, Mesquite, Cedar City, and Kanab. Contact us today to learn more information or schedule an appointment.

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