929 S.W. Mulvane
Topeka, KS 66606

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785) 270-4LEG or (800) 468-0177

Clinics and Treatment

Peripheral Artery Disease (PAD)

New guidelines for the management of patients with peripheral arterial disease (PAD) have been released by the American College of Cardiology and the American Heart Association. This updated information was created to better diagnose and manage PAD, a condition in which blood flow to the legs is reduced due to narrowing of the arteries. This reduced blood flow to the extremities leads to severe leg pain, even after walking short distances.

The updated guidelines now place a greater emphasis on improved preventive measures, which include:

  • Stronger efforts to help patients find counseling, education and treatment to stop smoking.
  • Recommendations for moderate to regular exercise for those diagnosed with PAD.
  • Earlier PAD testing beginning at age 65, age 50 if patient is diabetic or smokes, even if no symptoms exist. Screening at age 50 may be needed if the patient is diabetic or smokes.
  • Improved recommendations of medication to reduce risk of blood clotting.
  • More aggressive options for treating PAD, including chronic total occlusion and offering traditional vascular surgery to qualifying patients.

Treatment for PAD at the Cotton O’Neil Heart Center

The Cotton O’Neil Heart Center PAD Clinic and Stormont Vail HealthCare offer state-of-the-art evaluation and treatment of patients with PAD.  For example, your Heart Center vascular specialist has access to very advanced diagnostic testing, including ultrasound, computerized tomography angiogram (CTA) and/or magnetic resonance imaging, and peripheral angioplasty or angiogram, to pinpoint your diagnosis.

Once diagnosed, your vascular specialist will work with you to establish the most appropriate treatment for your condition. Your treatment options might include:

  • Medication – prescription medication may be prescribed as an additional form of treatment to lifestyle changes.
  • Angioplasty – is performed to reopen the affected artery, flatten the blockage and stretch the artery open to increase blood flow.
  • Stent placement – is a procedure where a tiny wire mesh tube is placed in the artery, while a tiny balloon is expanded through the mesh to push the blockage against the artery wall, resulting in restored blood flow to the affected area.
  • Endarterectomy – is a surgical procedure used to remove plaque from the blocked artery.
  • Bypass grafting – is a procedure that allows your vascular specialist to create a graft bypass using a blood vessel from another area of your body or create a vessel using synthetic fabric to redirect blood flow around the blocked area of your artery.
  • Thrombolytic therapy – clot dissolving medication, which is injected into deep veins in the leg, to break up a dangerous clot.

Why choose the Cotton O’Neil Heart Center for the treatment of PAD

  • Experience – cardiologists at the Cotton O’Neil Heart Center are trained and specialize in a variety of cardiovascular specialties, including vascular or interventional cardiology. Together they make the Cotton O’Neil Heart Center and Stormont Vail Health the leader in cardiovascular care in northeast Kansas.
  • Clinical Research – our cardiologists stay on the cutting edge by participating in clinical research that is certain to change the way heart disease is treated in the future.
  • Technology – Stormont Vail HealthCare remains future-minded about the technology needed to care for our community. We know that remaining top-notch can’t happen without the right tools and people to use them.
  • Dedication – cardiologists and a team of emergency care staff are available 24/7/365 to treat your health concern. Whether it’s a heart attack, medication question or PAD concern, we are available and perform all procedures available for the management of PAD.

For more information about the PAD clinic at the Cotton O’Neil Heart Center, call (785) 270-4LEG or (800) 468-0177.