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Arterial Vascular Interventions offer huge pain relief.

Approximately 8.5 million people in the United States have PAD, including 12-20% of individuals older than age 60. Other clinical conditions and disorders of arteries can mimic the symptoms of PAD, which is why MTV IR starts with a thorough diagnostic evaluation to examine the arteries and develop the best treatment plan.

Arterial Vascular Interventions:

Several of the specialized procedures offered by the interventional radiology doctors at MTV IR are classified as arterial vascular interventions. These highly specialized procedures are often used when patients are referred to us for evaluation and treatment of severe leg pain due to peripheral artery disease (PAD). PAD is caused by a buildup of arterial plaque that narrows the arteries carrying blood to the legs, and can result in cramping pain, numbness, and feelings of achiness or heaviness in the legs, most often when walking or climbing stairs. Although the leg pain is problematic in itself, untreated PAD is dangerous because it increases the patient’s chances of ulceration and limb threatening ischemia.


Say goodbye to leg pain.

To treat this condition, MTV IR specialists first perform a diagnostic angiogram to get a closer look at the arteries. This procedure may involve placing a catheter into the artery at the groin or wrist, and then injecting a special dye and analyzing the results via X-ray. Once the problem areas have been identified, MTV IR doctors work with the referring physicians to develop a treatment plan.

PAD affects 8 to 12 million people in the U.S., especially those over 50. Luckily we can help.

Treatment often continues with a therapeutic angiogram, which may involve a number of different IR procedures such as angioplasty (expanding the narrowed artery by inflating a tiny balloon) or placing a stent to hold the artery open. Other procedures include drug-coated balloon angioplasty, drug-coated stent placement, or atherectomy (to remove plaque buildups that have become calcified and do not respond well to angioplasty or medication

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What To Expect

Each of these procedures is minimally invasive, in that access to the diseased arteries is gained through a tiny incision in the groin, wrist, or ankles.

Most arterial interventions at MTV IR are performed as outpatient procedures with no overnight hospital stays required.


Results

MTVIR is a team of experienced interventional radiologists who consult with other doctors or hospitals to bring state-of-the-art radiology treatment to their patients.

A Few Of Our Cases

Image A
This is an image from an arterial leg intervention case. This specific image is of the main artery in the right leg called the superficial femoral artery or SFA. The end of the catheter is seen at the top of the image as a white rectangular marker. The black portion of the images represents the dye in the artery and the surrounding collateral vessels. The SFA comes to an abrupt stop and the small surrounding vessels are trying to allow blood to get to the foot.
Image B
This image shows a wire now through the blockage in the SFA. The images also shows very faintly the shadow of a metal stent in the artery. This stent has become blocked and needs to be opened up.
Image C
The image now shows that the blocked stent has been re-opened and there is normal flow through the stent to the right foot. Using the atherectomy device, the debris that was blocking the stent was removed. The stent was then dilated with a balloon to keep it open. This is called angioplasty. When the procedure is complete, the flow to the foot is now normal and the vessels that were present in Image A are no longer seen as prominently.
Image A
This is an image from an arteriogram of the left leg about the level of the knee. There is an d abrupt closing of the popliteal artery at the knee joint. Small squiggly arteries called collateral vessels are seen below the closing and are trying to get enough blood to the left foot. Many of the important arteries in this image are all closed off from blood flow.
Image B
This is what's called an "un-subtracted" image. The exact same image as Image A but with the bones in view. When images are subtracted, the bones and background are removed electronically to give the doctor a clearer image. This way when the dye is injected all of the small faint arteries can be clearly seen.
Image C
This is an image taken after the atherectomy and angioplasty procedure. The total occlusion of the arteries discuss in Image A were crossed and the vessels were opened up. The flow is now more direct to the left foot and the patient's pain relieved. Often patients are placed on mild blood thinners after the procedure, called Plavix and Aspirin. These medications slightly thin the blood by preventing platelets in the blood from causing clotting