Peripheral Artery Disease (PAD)

Bloomfield Vein & Vascular 


Peripheral Artery Disease (PAD)


What Is PAD?


Peripheral Artery Disease (PAD) or Peripheral Vascular Disease (PVD) is a condition caused by the build up of plaque inside our arteries, a process known as atherosclerosis. Over time, plaque can narrow the artery, limiting the delivery of oxygen-rich blood to the legs. The inability to deliver adequate flow to the muscles of the legs can cause leg pain when walking, a condition known as “claudication,” and in severe, advanced cases, it can predispose to pain at rest, wounds or to gangrene, which may eventually require an amputation.


Management of PAD:


There are different options to treat PAD, and these depend upon the location of the blockage. Advances in technology now allow us to treat the majority of these problems with minimally invasive procedures. However, there are times that PAD can be managed conservatively, without any procedures, and there are times that surgical options are best. As a vascular surgeon, I am qualified to look at the options that are available for your condition and suggest the ideal treatment plan.


Minimally invasive procedures to treat PAD

Typically, the location of the blockage and the characteristics of the plaque determine what our options are for treatment. Listed below are typical options for the management of PAD:

  • Angioplasty – a tiny tube (catheter) is inserted into the blocked artery. A balloon is then inflated, opening up the restricted portion of the blood vessel (see video).
  • Stenting –  A stent is a small metal cylinder that supports the wall of the blood vessel. It is often used to help keep blood vessels open when angioplasty is not effective enough. At Bloomfield Vein & Vascular we use the latest generation of drug-eluding stents, which have been associated with better results (see video).
  • Atherectomy – using a diamond burr that spins at very high speeds, we can shave the amount of plaque present inside a blood vessel, increasing the size of the vessel. We use angioplasty afterwards to enhance the results. Because the burr spins so fast, if there are particles that are released, these tend to be smaller than your own red blood cells, which lessens the risk of any pieces showering (see video).


This image shows plaque within an artery in the lower extremity. This plaque narrows the artery and interferes with the ability to deliver oxygen-rich blood to the muscles of the lower leg.

Learn More About Peripheral Vascular Disease

Peripheral Atherectomy

Peripheral Stenting


Schedule An Appointment With Dr. Diego Hernandez

43700 Woodward Ave., Suite 207, Bloomfield Hills, MI.
Office Hours

Monday – Thursday: 7:30 a.m. to 4:30 p.m.
Friday: 7:30 a.m. to 12 noon
The office is closed for lunch between 12 noon – 1 p.m., everyday.