Peripheral artery disease, or PAD, is a cardiovascular disease which mainly affects the arteries that carry blood to the legs and feet. In PAD, arteries are narrowed and made less elastic by changes in the artery walls. PAD is caused by “atherosclerosis,” which refers to a buildup called “plaque,” made up of cholesterol, fatty substances, calcium and fibrin (protein involved in the clotting of blood). This buildup reduces blood flow through the arteries and can lead to pain and lack of mobility.
Angioplasty with Stent Placement is a minimally invasive in-office procedure and is performed by making a small incision through which a catheter is inserted to reach the blocked artery. A tiny balloon is inflated inside the artery to open the clog. A stent — a tiny wire mesh cylinder — may also be implanted at this time to help hold the artery open. Sometimes a medicine can be given through the catheter or a special device can be inserted through it to remove a clot that’s blocking the artery.
Atherectomy is a procedure to remove plaque from the artery.
If there’s a long portion of an artery in your leg that’s completely blocked and you’re having severe symptoms, surgery may be necessary. A vein from another part of the body can be used to “bypass” and reroute blood around the closed artery.
Blood clot within the veins, usually accompanied by inflammation of the vessel wall. Major consequences are embolization (usually to the lung), & postphlebitic syndrome.
Deep vein thrombosis, or DVT, is a large blood clot that forms in one or more of the deep veins in your body. DVT usually happens in the legs or pelvis, but a clot can form anywhere in your body. Sometimes, part of the blood clot can break off and travel to your lungs. This can block blood flow and cause a pulmonary embolism, which is a serious and potentially deadly condition.
A serious complication of DVT is Pulmonary embolism (Pe). Some or all of the DVT breaks free from its original site in a vein and travels through the heart into the lungs.
Seek treatment as soon as possible.
Timely intervention with blood thinners and catheter directed thrombolysis can save tissue and lives.
A progressive weakening of the aortic wall can cause an Abdominal Aortic Aneurysm (AAA), and without treatment, may continue to grow and rupture if not treated. A ruptured AAA is a life-threatening medical emergency.
TAA is the swelling or ballooning of the thoracic aorta. The aorta is the main artery that carries oxygen-filled blood from the heart to all parts of the body. In the thorax (chest), once leaving the heart, blood travels upward through the ascending aorta, turning into the aortic arch, and branching into the innominate, left common carotid, and left subclavian arteries. These branch vessels carry blood to the heart muscle, arms, shoulders, chest, neck, face, and head (including the brain). Once past the aortic arch, the aorta turns downward into the descending aorta and carries blood to the intercostal arteries, spinal arteries, and ultimately other lower organs and areas of the body
A typical exam will include an Abdominal ultrasound and/or an angiography.
Narrowing of the carotid artery due to plaque build-up. The carotid arteries are essential as they supply blood to the large front part of the brain. Over time, this narrowing may eventually become so severe that blockages decrease blood flow to the brain and may tragically cause a stroke.
Seek treatment as soon as possible.
The Transcarotid Artery Revascularization (TCAR) Procedure available from South Carolina Surgical is a clinically proven treatment option for carotid artery disease.
The procedure begins with a small incision made just above the collarbone to allow access to the carotid artery. A short hollow tube called a sheath is then placed in the carotid artery.
To protect the brain from debris during the procedure, a circuit outside the body directs the blood flow away from the brain and safely back into a vein in the leg. This is called “reverse flow” and allows our surgeon to place a stent (an expandable mesh tube) at the site of the disease for long-term plaque stabilization and stroke prevention.
If your kidneys fail, unless and until you have a successful kidney transplant, you will need dialysis therapy to clean and filter your blood. The safest solution for patients who will undergo long-term dialysis treatment is to implement access with hemodialysis access surgery.
Your dialysis access surgeon will explain the procedure and perform a physical exam, focusing on the arm or leg selected. Usually, an ultrasound scan is used to “map” your veins to see if they are large enough for an AV fistula. If not, an AV graft will be needed.
South Carolina Surgical
& Medical Aesthetics
3045 St Matthews Rd
Orangeburg, SC 29118