Atherectomy

A Minimally Invasive Treatment for Peripheral Artery Disease

 

What is Atherectomy?

Atherectomy is a specialized medical procedure used to remove plaque from the arteries. It is a minimally invasive alternative to surgical interventions such as bypass surgery or angioplasty. During an atherectomy, a catheter with a cutting device is inserted into the affected artery. The device then removes or shaves off the plaque, restoring blood flow and improving circulation. This procedure is especially beneficial for people with Peripheral Artery Disease (PAD). PAD is a condition where plaque builds up in the arteries that carry blood to your head, organs, and limbs. If left untreated, it can lead to heart attacks, strokes, and even amputation.

What Happens During The Atherectomy?

Atherectomy works by physically removing the plaque that has accumulated in the arteries. The procedure involves the following steps:

  1. Preparation: The doctor administers a local anesthetic to numb the area.

  2. Guidewire Insertion: A thin guidewire is carefully threaded through the artery to reach the affected area.

  3. Catheter Placement: A special catheter equipped with a cutting or grinding device is inserted over the guidewire and positioned at the site of the plaque.

  4. Plaque Removal: The cutting device is activated and used to remove or shave off the plaque from the artery walls. The removed plaque is then collected and removed from the body.

  5. Restoration of Blood Flow: Once the plaque is cleared, the blood flow is restored, and the catheter is removed.

Navigating the Recovery Process and After-Care

More often than not, atherectomy is conducted as an outpatient surgery, enabling you to head home on the very day of the procedure. In certain cases, you might need to stay in the hospital for a day. Your doctor will guide you on what to anticipate, taking into consideration your unique condition. A majority of patients are able to pick up their usual activities within a few days post-procedure. As everyone's case is distinct, it's advisable to consult with your doctor about when it's appropriate to return to your day-to-day routine.

Atherectomy vs. Alternative Methods

The most common traditional treatments for PAD are angioplasty, stent placement and bypass surgery. While both have their merits, they're invasive and come with a higher risk of complications. On the other hand, atherectomy stands out due to its minimal invasiveness, lower risks, and quicker recovery times.

Angioplasty and Stenting

Angioplasty involves inflating a tiny balloon in the narrowed artery to make room for blood flow. Often, a stent is inserted to keep the artery open. While effective, there are risks, such as the artery narrowing again or the stent getting blocked.

Bypass Surgery

Bypass surgery entails grafting a vein from another part of the body to reroute blood flow around the blocked artery. Although it's a proven method, the procedure is quite invasive and requires a longer recovery period.

Benefits of Atherectomy

Atherectomy offers several advantages over traditional treatment methods for peripheral artery disease. Some of the key benefits include:

  • Minimally invasive: Smaller incisions mean less scarring, pain, and risk of infection.

  • Preserves vessel integrity: It reduces the chance of damaging the blood vessel walls.

  • Quick recovery: Most people are up and about in a matter of hours after the procedure.

Risks and Complications of Atherectomy

Like any medical procedure, atherectomy is not entirely without risks. Some possible complications include infection, damage to the blood vessel, and the reoccurrence of plaque. However, the chances are low, and doctors take extensive measures to minimize these risks.

Atherectomy at Indiana Vascular

Just because atherectomy has plenty of benefits doesn't mean it's the best choice for everyone. The decision will depend on various factors like your overall health, the severity of PAD, and your lifestyle. Your doctor is the best person to determine whether atherectomy is the right choice for you.

At Indiana Vascular, we offer a facility filled with state-of-the-art equipment and a staff of experienced doctors that specialize in performing the atherectomy procedure. We will work with you in crafting a treatment plan tailor-made to your individualized needs, and will be right by your side every step of the way to ensure a favorable outcome and swift recovery.

Do not allow PAD to negatively impact your quality of life. Schedule an appointment with us today to receive a consultation and gain insight into the condition, as well as discover how we can enhance your overall health.

Frequently Asked Quetions

  • Atherectomy is typically recommended for individuals with peripheral artery disease who have significant plaque buildup that is causing symptoms and affecting their quality of life.

  • Yes, atherectomy is often performed on an outpatient basis. This means that patients can go home on the same day as the procedure, without the need for an overnight hospital stay.

  • While atherectomy is generally considered safe, like any medical procedure, it does carry some risks. Potential complications may include blood vessel damage, bleeding, infection, or allergic reactions to anesthesia or contrast dye. However, the overall risk of complications is relatively low.

  • Atherectomy can provide significant relief from the symptoms of peripheral artery disease by removing the obstructive plaque. However, it is important to adopt a healthy lifestyle and manage risk factors such as smoking, high blood pressure, and high cholesterol to prevent the recurrence of plaque buildup.

Is Atherectomy Right For You?