Peripheral Artery Angiography

Peripheral Angiography is an x-ray examination of the blood vessels of the legs after they have been filled with a contrast agent. Your doctor can then look for any blockages you may have in your legs.  Peripheral Artery Disease refers to the collection of atherosclerotic plaques, or lesions, on the inside of an artery. These plaques are composed of cholesterol, fatty deposits, and other substances. Over time, the plaques increase in size, progressively restricting the flow of blood through the artery. PAD in the arteries of the legs can lead to pain in the legs (claudication) due to the reduced blood flow. Left untreated, PAD can progress to completely blocking blood vessels, which can lead to ulcers, tissue death, and gangrene. The Peripheral Angiography is done under local anesthesia while you are awake. Medication will be given to make you drowsy before the procedure. You will have an intravenous infusion (IV) started to be sure you get enough fluid and to provide a way to give you any sedation or medication required for your comfort during the procedure. The procedure can take anywhere from one to three hours. You will be required to have some blood testing prior to your admission. Be sure to mention to your doctor all medications you may be taking, especially if you are taking insulin or blood thinners (such as coumadin). Also discuss any allergies to foods or medications.

How do I prepare for a Peripheral Angiography?

The preparation for a Peripheral Angiography is similar to the preparation for a heart cath. You will be asked to have nothing to eat or drink after midnight the night before the procedure.

Peripheral Angioplasty & Stenting

Peripheral Angioplasty or Stenting is one treatment option for addressing Peripheral Arterial Disease (PAD). Peripheral Angioplasty, with or without vascular stenting, is a minimally invasive procedure performed to improve blood flow in the body's arteries and veins. In an angioplasty procedure, imaging techniques are used to guide a balloon-tipped catheter, a long, thin plastic tube, into an artery or vein and advance it to where the vessel is narrow or blocked. The balloon is then inflated to open the vessel, deflated and removed. Sometimes a stent will be left in place to help hold the artery open.