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Other The Main Line Health Heart Center at Lankenau Hospital Topics:
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The Main Line Health Heart Center at Lankenau Hospital
Peripheral Vascular Disease (PVD) Treatment

  Path: Centers & Programs < The Main Line Health Heart Center at Lankenau Hospital <

Peripheral Vascular Disease: Unblocking Blood Vessels with Minimally Invasive Treatments

Cardiovascular and neurovascular specialists provide diagnosis and treatment of narrowing or blockage of blood vessels leading to and from the kidneys, abdomen and legs. Lankenau has a lab specially designed for peripheral cases.

Peripheral Vascular Disease or PVD affects about 8.4 million Americans, and it can cause serious complications. Peripheral vascular disease (PVD) refers to diseases of blood vessels outside the heart and brain. It's often a narrowing of vessels that carry blood to the legs, arms, stomach or kidneys.

There are two types of these circulation disorders:

  • Functional peripheral vascular diseases don't have an organic cause. That means they don't involve defects in blood vessels' structure. (The blood vessels aren't physically damaged in some way.) These diseases often have symptoms related to a spasm that may come and go. Raynaud's disease is an example. In Raynaud's disease, restricted circulation can be triggered by cold temperatures, emotional stress, working with vibrating machinery or smoking.

  • Organic peripheral vascular diseases are caused by structural changes in the blood vessels. Examples could include inflammation and tissue damage. Peripheral artery disease (PAD) is a type of organic PVD. It is the most common and important type of PVD. It's caused by fatty buildups (atherosclerosis)  in the inner walls of arteries that block normal blood flow. Blocked arteries can lead to leg pain and potential limb loss. High blood pressure can be caused by blocked arteries to the kidneys. Blocked carotid arteries and hypertension can lead to stroke. PAD affects 8–12 million Americans. And it becomes more common as one gets older, and by age 70, about 20 percent of the population has it. Diagnosis is critical, as people with PAD face a six-to-seven times higher risk of heart attack or stroke.
Symptoms of PAD:

Nearly 75% of people with PAD do not experience symptoms
Leg cramping, fatigue, heaviness, pain or discomfort in the legs and buttocks during activity
A marked decrease in the temperature of your lower leg or foot particularly compared to the other leg or to the rest of your body
Diagnostic Tests for PAD:

ABI (ankle brachial index)
Duplex ultrasound
Magnetic resonance angiogram
CT angiogram
Regular (catheter-based) angiogram

Controllable risk factors:
Cigarette smoking / Obesity / Diabetes mellitus
High blood pressure / Physical inactivity / High blood cholesterol

The Heart Center at Lankenau Hospital offers the latest non-surgical procedures for diagnosing and treating PVD  and PAD, including angiography, angioplasty, stenting, and laser angioplasty. We provide these services in one of the most technologically advanced environments in the region. In 2004, Heart Center specialists performed more than 1,000 peripheral procedures.

Angioplasty
The physician threads a balloon-tipped catheter into the blocked artery and inflates the balloon to open the clogged vessel and allow the blood to flow where it is needed.

Stenting
The insertion in the affected artery of a stent, a small metal scaffold-like device, usually occurs with angioplasty to keep the blood vessel propped open and to prevent it from re-narrowing. Carotid stenting, in particular, offers a non-invasive treatment to select patients with carotid disease.

Laser Angioplasty
This procedure uses a laser-tipped catheter at the site of a blockage to emit pulsating beams of light that vaporize the plaque blocking the blood vessel. Lankenau is in the forefront of using lasers to save the limbs of patients at risk of amputation because not enough blood is reaching the lower extremities.

Taken together, these minimally invasive procedures for PVD provide patients with effective treatments that can be performed with local anesthesia, are faster than surgery, and avoid surgical complications.


 

"Atherosclerosis is a diffuse process that is not confined to one location in the body. At Lankenau, we have all the resources to tailor treatment to an individual's needs."
--Dr. Sean Janzer, MD; Director, Peripheral Interventional Program




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The Main Line Health Heart Center at Lankenau Hospital
100 Lancaster Avenue
Wynnewood, PA 19096
1-866-CALL-MLH


 
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