Treatment Options

There are four main approaches to treating PAD:
  • Lifestyle modifications
  • Medication
  • Minimally invasive surgical procedures
  • Vascular bypass surgery
Early detection and treatment is important to control the disease and allow you a full selection of treatment options.
Your health care provider will determine the best treatment option for you based on your medical history and the severity of your condition.

Lifestyle Modifications

PAD treatment often includes making long-lasting lifestyle modifications. If you have PAD or want to lower your risk, your health care provider may prescribe one or more of the following:

  • Quit smoking. Don’t smoke, and if you do, quit. Consult with your health care provider to develop an effective cessation plan.
  • Lower your numbers. Work with your health care provider to correct any high blood pressure, cholesterol, and blood glucose levels.
  • Follow a healthy eating plan. Choose foods that are low in saturated fat, trans fat, and cholesterol. Be sure to include whole grains, vegetables, and fruits.
  • Get moving. Make a commitment to be more physically active. Aim for 30 minutes of moderate-intensity activity on most, preferably all, days of the week.
  • Aim for a healthy weight. If you are overweight or obese, work with your health care provider to develop a supervised weight loss plan.
  • Manage diabetes. Lower blood glucose levels to reach an A1C of less than seven.
A recent study of over 51,500 subjects showed that smoking, diabetes, high cholesterol and hypertension are more strongly associated with PAD than Coronary Heart Disease.*


* Joosten,MM, Pai JK, Bertoia ML, et al. JAMA. 2012;308(16):1660-1667. doi:10.1001/jama.2012.13415.



In addition to lifestyle modifications, your health care provider may prescribe one or more medications. Medications are used to:

  • Lower high blood pressure and cholesterol levels and treat diabetes
  • Prevent the formation of blood clots that could cause a heart attack or stroke
  • Help reduce leg pain while walking or climbing stairs


Minimally Invasive Surgical Procedures

For people suffering from Peripheral Arterial Disease (PAD), the build-up of plaque in the arteries of the legs often leads to severe and even debilitating leg pain. When the plaque becomes “calcified,” limited options have been available to successfully treat the problem – until now.
CSI’s Orbital Atherectomy System
The Orbital Atherectomy System uses simple physics to defeat complex calcium. It applies the basic principles of centrifugal force to orbit around the periphery of the vessel wall. As it moves, its diamond-coated crown sands calcium deposits into tiny microparticles (smaller than the size of a red blood cell) that the bloodstream can naturally flush away – restoring blood flow.

This minimally invasive procedure is now backed by years of clinical data, as it provides an effective alternative to surgery or amputation.

Though the Orbital Atherectomy System has a substantiated safety profile in treating peripheral lesions, results may vary. Also, not all patients may be eligible for orbital therapy based on their unique health considerations.

Learn More About The Revolutionary Orbital Atherectomy System
Balloon Angioplasty
Balloon angioplasty is a procedure where a balloon is inflated and plaque is pushed against the arterial walls, causing the artery to widen and restoring blood flow. When Orbital Atherectomy is used prior to balloon angioplasty in calcified lesions, it is associated with fewer complications.
A stent (tiny metal cylinder) is often placed in the artery after the angioplasty procedure with the intent to keep the diseased artery open.

Vascular Bypass Surgery

Surgery may be necessary if blood flow through a limb is completely or almost completely blocked. In vascular bypass surgery, a blood vessel from another part of the body or a tube made of synthetic material is used to bypass blockage in the artery. This allows blood to flow around the blockage and into the lower limb.

Vascular bypass surgery is a major surgery. Some patients, due to other risk factors, may not be good surgical candidates.