C & C Professional Services, LLC

 

Charles J. Gbur, MD, FACC, FSCAI, DMO

Specializing in Interventional Cardiology and Peripheral Vascular Diseases &

Undersea & Hyperbaric Medicine

 

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Arrows highlight areas of severe stenosis in the distal popliteal artery and in the TP trunk

 

Case Studies:

83yo male with right lower leg claudication (PDF)

83yo female with severe leg pain with walking (PDF)

 

An estimated 12 million people in the U.S. have peripheral arterial disease (PAD). However, PAD is often undiagnosed or misdiagnosed because patients are either asymptomatic or dismiss their symptoms as part of the normal aging process.

Symptoms of PAD can include, but are not limited to the following:

If a patient has symptoms associated with PAD, several tests can be performed to make a diagnosis. An ankle brachial index (ABI) is used to measure the ratio of blood pressure in the ankle to that in the arm. A lower pressure in the ankle may indicate PAD. This is a simple, non-invasive test, which can be done in the doctor's office. Another non-invasive test called a Doppler Ultrasound, uses sound waves to measure blood flow in a vessel and can determine if there is a blockage.

To make a final assessment, angiography is performed. This minimally invasive procedure involves injecting a dye into the arteries and reviewing the area by X-Ray. Typically, the physician can see the blockage on the angiogram images.

Typically, the blockage can be repaired using minimally invasive techniques, such as Foxhollow Silverhawk  Atherectomy.  If you have claudication or vascular disease and would like to be evaluated, please complete the form by clicking this link:  Request an appointment