About Peripheral Vascular Disease
Mount Sinai’s vascular surgeons have tremendous experience in all of the techniques used for restoring blood flow to the legs and correcting the symptoms of peripheral vascular disease (PVD), also known as peripheral arterial disease (PAD).
PVD results from cholesterol deposits (plaque) that build up in the arteries of the legs. This buildup narrows or blocks the arteries, reducing the amount of blood, oxygen, and nutrients carried to the legs. This causes leg muscle pain when walking, or in more severe circumstances foot pain at rest, ulcers, or gangrene.
Mild forms usually do not require intervention and are treated with exercise, smoking cessation, and reduction of cholesterol levels, along with regular medical follow up visits. More severe cases may require intervention. Currently, we offer an array of minimally invasive procedures as first line alternatives to open surgery. Minimally invasive treatments use a long narrow plastic tube, or catheter, that is directed through the arterial system to the site of the blockage. Once the site of the disease has been reached, a balloon at the end of the catheter is inflated to open the blockage. A metal mesh scaffold in the shape of a tube or cylinder called a stent is then placed at the site opened by the balloon inflation to support the artery and keep it open. In some instances, treatment of PVD requires bypass surgery. In those cases, a vein or a prosthetic tube is used to direct the blood around the blocked segment, allowing the blockage to be bypassed.
Division of Vascular Surgery
5 East 98th Street, 3rd Floor
New York, NY 10029