TREATMENTS WE PERFORM
Peripheral Arterial Disease
We treat PAD across the whole arterial tree of the leg — from the inflow arteries in the pelvis down to the small vessels of the foot — matching the technique to the segment that's blocked. Most procedures are minimally invasive, same-day, and outpatient.
One disease, treated by vascular territory
Peripheral arterial disease can narrow any segment of the leg's circulation, and where the blockage sits changes how we reopen it. We treat each territory — often more than one in the same limb — through a small puncture, with same-day discharge. Pick a segment below for the detail, or start with the PAD condition overview.
Segments we treat
Aortoiliac (inflow)
The aorta and iliac arteries — the main inflow pipes to the legs. Blockages here cause hip, buttock, and thigh symptoms and starve the whole limb.
Aortoiliac intervention →
Femoropopliteal (thigh & knee)
The thigh-and-knee segment — the longest leg artery and the most common site of PAD. Reopening it restores the through-flow the lower leg depends on.
Femoropopliteal intervention →
Below-the-knee & pedal (tibial & foot)
The small calf, ankle, and foot arteries — where limb salvage is won, and where many programs stop. The center of our practice.
Below-the-knee & pedal →
IVUS-guided vessel prep & revascularization
Our technique across every territory: assess the artery from inside with intravascular ultrasound, prepare the vessel when the plaque calls for it, size the balloon to the vessel’s true diameter, and place a stent only when necessary.
Why we use intravascular ultrasound
An angiogram is a two-dimensional shadow of a three-dimensional artery. Intravascular ultrasound (IVUS) puts a small ultrasound on the catheter tip and images the vessel wall itself. We use it for specific, practical reasons rather than as a matter of routine:
-
To size treatment to the real artery. An angiogram estimates diameter; IVUS measures it. Balloons and any stent are matched to the vessel’s true dimensions rather than to an outline.
-
To see what the blockage is made of. Calcium, plaque type, and how much of the wall is involved determine whether a vessel needs preparation before a balloon will work — and whether it needs anything permanent left behind.
-
To confirm the result before we finish. IVUS is more sensitive than angiography for detecting dissections and for showing whether a stent is fully expanded and apposed — problems that are easy to miss on a picture of the channel alone.
-
To protect the kidneys. Imaging from inside the vessel reduces the iodinated contrast and radiation a procedure requires, which matters most for patients with reduced kidney function. Kidney-protective vascular care →
A 2024 multisociety expert consensus — SCAI, AVF, AVLS, SIR, SVM, and SVS — reviewed the evidence for IVUS in lower-extremity arterial and deep venous intervention and rated its use appropriate at every procedural step for tibial arteries and iliofemoral venous work, and appropriate across most scenarios for iliac and femoropopliteal disease. The same document notes that formal guideline recommendations are still limited and that the supporting evidence is largely registry and observational rather than randomized.
1. Secemsky EA, et al. Intravascular Ultrasound Use in Peripheral Arterial and Deep Venous Interventions: Multidisciplinary Expert Opinion From SCAI/AVF/AVLS/SIR/SVM/SVS. J Soc Cardiovasc Angiogr Interv. 2024;3(1):101205.
The whole plan — more than opening an artery
Reopening a blocked artery works best as part of a complete plan. We combine three things, matched to how advanced the disease is.
Everyday habits that change the disease
A structured walking program is one of the most effective non-surgical treatments for leg circulation — walking regularly and building up over several weeks. Stopping tobacco, heart-healthy eating, and keeping blood sugar, blood pressure, and weight in range slow the disease and protect the result.
Medicines that protect arteries
Blood-thinning (antiplatelet) medicines and cholesterol-lowering statins lower the risk of heart attack, stroke, and limb loss and help keep arteries — and any stents — open. We tailor them to you and manage them with your other physicians.
Medical therapy →
Procedures to restore flow
Minimally invasive, catheter-based angioplasty, vessel preparation, and stenting reopen the blocked segment, chosen to match where it sits. When a wound is present we manage it in-house too.
Wound care →
For disease better suited to open surgery, such as bypass, we coordinate directly with a vascular surgeon and stay involved in your care. For the most advanced disease, see chronic limb-threatening ischemia.
When to call us — don’t wait for your next visit
Advanced artery disease can worsen fast. Call us right away — don’t wait for your next scheduled visit — if you notice any of these:
Call our office today if you notice:
-
New or worsening pain in the foot or leg — especially pain at rest or at night
-
A new wound, or an existing wound getting larger or draining
-
Black or darkening toes or skin
Call our office at (918) 943-5303 and tell us what’s changed — we’ll get you seen sooner, because catching these early often keeps a small problem from becoming a big one.
Go to the emergency room now, or call 911, if you have:
-
A foot or leg that becomes suddenly cold, pale, numb, or painful
-
An infection that is spreading quickly, or a fever with a wound
Frequently asked questions
For referring providers — We welcome PAD referrals at every stage — claudication through limb-threatening ischemia, including complex below-the-knee disease declined elsewhere. Refer: (918) 943-5303 · fax (855) 312-3594.
Refer urgently: a non-healing wound or rest pain · Routinely: claudication limiting daily activity, or known PAD for evaluation. Full referral guide →