If the ultrasound suggests that there is significant narrowing or blockage of the arteries of the legs, an angiogram may be recommended as the next diagnostic test. In this procedure, a thin catheter is inserted into the arteries of the legs. Contrast (xray dye) is injected, and pictures are taken of those blood vessels. The exact location of the narrowings or blockages can be precisely identified, and a treatment plan can be designed based upon those findings. At Vidavascular, we carefully formulate a treatment plan with the input of the patient and their family.
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What Is Peripheral Vascular Disease?
Peripheral vascular disease (PVD) is also known as peripheral artery disease (PAD), or leg artery disease, and affects nearly 10 million people in the U.S. alone. The arteries affected by PAD provide blood supply to the legs. When these arteries are partially or completely blocked, they can cause a great deal of pain during physical activity or even at rest. The primary cause of PAD is atherosclerosis, which is a condition that develops when fatty plaque builds up along the walls of an artery, inhibiting blood flow to the extremities. This plaque is made up of fats, cholesterols and other substances that compose a hard residue on the lining of the arteries.
Other, less common, causes include vasculitis (inflammation of the blood vessels); injuries (sports or auto accidents) that could affect the blood vessels; blood clotting diseases and abnormalities of the blood vessels.
Risk Factors For Peripheral Artery Disease
Causes Of Peripheral Artery Disease
Diagnosis And Treatment Of Peripheral Artery Disease
PAD can be painlessly diagnosed with a routine physical with our experienced medical staff. Noninvasive tests, such as ankle-brachial index (ABI) and doppler ultrasound, may also be performed to help to make a diagnosis.
Treatment aims to (1) reduce the pain associated with PAD and (2) decrease the progression of atherosclerosis, thereby improving the ability to perform activities and preventing ulcers and loss of tissue. If the abnormalities and symptoms are not severe, a medication may be prescribed first, to try to medically improve the circulation.
If the abnormalities are more severe, minimally invasive treatments to open up blocked arteries include:
Sometimes, these minimally invasive treatments are not advised because the problem is too severe, and in that case, surgical bypass may be advised.
The physicians and staff at Vidavascular are among the most experienced in the entire region at performing these minimally invasive procedures, so that you can get back to your normal activities and enjoy life as soon as possible! Call us today to schedule a free screening for this and other conditions at a Vidavascular office in northern Virginia (convenient to Springfield, Fairfax, Alexandria, Arlington, Woodbridge) or Maryland (convenient to Waldorf, La Plata, Clinton).
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I was so impressed with this clinic and Dr. Antani and his staff. I had been going to the GWU vascular center (had laser ablation and other procedures there) and switched for various reasons. I found the time Dr. Antani spent with me to explain things and consider the options for my varicose and spider veins to be of such greater quality and duration than the service I got at GWU. He truly considered my case and provided me with great options. I highly recommend them for both medical and cosmetic treatments.
Dr Antani performed sclerotherapy not once but three times over the past month and each time, he was so patient and kind. He fully explains the procedure, what is causing it and all options. I had a very stubborn vein (why I ended up back there 3 times - no fault of his) and he really took the time to make sure it was treated. Ashley, the office manager and Gretchen in Springfield were so kind and accommodating. There was never a long wait to be seen and the practice is very professional. They have a good deal on their website for new sclerotherapy patients which is what had originally brought me in.
Dr. Antani is a very knowledgeable and capable doctor. He was also very nice and patient with me when I asked a ton of questions! His staff is also very nice and responsive. Sometimes my appointment gets pushed back 15 minutes depending on their schedule, but they always let me know in advance. And I've never waited very long to be seen. I got venous ablation and sclerotherapy done in his office, as I had bad varicose veins under my skin (and a few spider veins), which would only become more troublesome and noticable over time. Needless to say, the procedure was a success! My legs feel much better (not as swollen, much lighter, no pain!). Thanks Dr. Antani!
Dr. Antani is a true professional! He knows what he is doing! He will explain each procedure, what to expect during and after, and next steps. No rushing in and out. They follow-up to see how you're doing and to answer any questions. Plus the office staff is very pleasant and helpful. (Healthgrades.com)
I came to the office for a free screening and Dr. Antani was really helpful, he took his time to explain the procedure with much details and patience (which I didn't receive at other facilities). This was the main reason why I became a patient to their office. Additionally, staff is friendly and provides flexible hours.
The doctor spoke frankly about the prognosis and risks of sclerotherapy, and the procedure was performed by a nurse (Kim) who was very friendly, helpful and thorough. Pain wise, I would say it is comparable to laser vein removal since you are injected in the spider veins multiple times with a very small needle - just felt like quick little pricks or being snapped with a rubber band, but very tolerable in my opinion.
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