CPMC Peripheral Vascular Disease Care

Peripheral Vascular Disease refers to a group of slow, progressive blood disorders that affect the blood vessels outside of the heart and brain. PVD causes the narrowing of vessels that transport blood to the legs, arms, stomach or kidneys.

You might be at risk for PVD/PAD if you have type 1 diabetes, coronary artery disease, impaired glucose tolerance, high cholesterol or high blood pressure, or have a family history of PVD or certain heart conditions. It’s also more common in men over age 50 and postmenopausal women, obese and/or inactive individuals and those who smoke.

In the Sutter Health network, our goal in caring for PVD/PAD is to increase blood flow to relieve symptoms and slow the progression of the disease. We incorporate various strategies tailored to your medical needs and situation.

Lifestyle Changes

You can reduce PVD, though not fix the damage already done, through strategic lifestyle changes. Sutter Health heart experts can connect you with information and services to help you quit smoking, develop a safe and manageable exercise routine and lose weight. Our Heart Smart class was designed specifically for those with high cholesterol or high triglycerides or who may be at risk for heart disease. We also offer instruction to help you manage prediabetes/diabetes and high blood pressure.

Abdominal Aneurysm Repair

When an aortic aneurysm enlarges the aorta, Sutter network surgeons can perform a procedure called an abdominal aneurysm repair. The surgery corrects the issue by replacing the aneurysm with cloth-like tube.

Angioplasty and Stent Placement

Angioplasty is a minimally-invasive, outpatient procedure in which the doctor inserts a small catheter into an artery, such as the carotid or peripheral artery, to increase blood flow.

Carotid Artery Surgery

Carotid arteries, located in the neck, can become blocked by a fatty material called plaque. This can result in decreased blood flow to the brain. When this happens, Sutter network surgeons can perform a minimally invasive procedure called a Carotid artery surgery to restore proper blood flow.

Peripheral Artery Bypass Surgery

Peripheral artery bypass surgery restores blood flow to an artery in the leg by creating a new path for the blood to move. A blood vessel from another part of your body or a tube made of synthetic material is grafted on either side of the blockage to establish that pathway.

Atherectomy

This minimally invasive surgical procedure removes plaque in blocked arteries to the legs. The surgeon uses a special tool (Diamondback 360°™) with a diamond-coated crown, which spins rapidly to shave away plaque while preserving the healthy tissue of the arterial wall. 

Thrombolytic Therapy and Thrombectomy

In urgent situations, your doctor may recommend thrombolytic therapy or a surgery called thrombectomy to remove a blood clot (thrombus) from a vein or artery. This restores blood flow and helps prevent a heart attack or stroke. Thrombolytic therapy involves clot-dissolving drugs, whereas thrombectomy surgically removes the clot.