Procedures
Peripheral Arterial Disease: Endovascular and Open Repairs
Peripheral arterial disease (PAD) is a common condition that affects the blood vessels outside the heart and brain, typically in the legs. It is caused by the buildup of plaque in the arteries, which can reduce blood flow and cause pain, numbness, and other symptoms. There are two main treatment options for PAD: endovascular repair and open repair. In this article, we will discuss these procedures in more detail.
Endovascular Repair
Endovascular repair is a minimally invasive procedure that involves using a catheter to access the affected artery and inserting a stent or balloon to widen the artery and improve blood flow. The procedure is typically performed under local anesthesia and requires only a small incision in the groin or arm.
Endovascular repair is often preferred over open repair because it is less invasive, has a shorter recovery time, and is associated with fewer complications. However, it may not be suitable for all patients, particularly those with more severe forms of PAD.
Open Repair
Open repair is a surgical procedure that involves making an incision in the affected area and removing the plaque buildup from the artery. The artery may then be repaired with a patch or bypass graft to improve blood flow. Open repair is typically performed under general anesthesia and requires a longer hospital stay and recovery time than endovascular repair.
Open repair is often recommended for patients with more severe forms of PAD, such as those with multiple blockages or complex anatomy. It may also be recommended for patients who have already undergone endovascular repair but have experienced a recurrence of their symptoms.
Which Procedure is Right for You?
The decision to undergo endovascular repair or open repair depends on several factors, including the severity and location of the blockage, the patient’s overall health, and the preference of the treating physician.
In general, endovascular repair is recommended for patients with less severe forms of PAD, while open repair may be recommended for those with more complex or severe forms of the disease. However, each case is unique, and the decision should be made in consultation with a vascular specialist.
Conclusion
Peripheral arterial disease is a common condition that can cause pain, numbness, and other symptoms in the legs. Endovascular repair and open repair are two treatment options that can help improve blood flow and reduce symptoms. If you are experiencing symptoms of PAD, it is important to seek medical attention right away to determine the best course of treatment for you.