Our physicians perform endovascular procedures to treat Peripheral Artery and Venous Disease at our office in Lagrange, GA. We offer patients and their families a comfortable and easily accessible location to have their procedures at our Vascular Lab.
Peripheral Vascular Angiography is a procedure performed in our Outpatient Lab at our office. The procedure is outpatient, which means “same day discharge”. This procedure is for patients that may have had an abnormal Lower Arterial, Ankle Brachial Index, extreme leg pain, or discoloration/ulceration. The patient will be given conscious sedation to keep them comfortable, the patient is not put completely asleep but given enough to stay comfortable throughout the procedure. The patient will need to be NPO (no food, drink or medications prior to procedure). Once the patient arrives, they will receive an IV for the sedation. For the procedure, the Doctor makes a small incision in the left radial artery, which is the left wrist. The doctor will then use a wire and a catheter to guide him to the arteries in the legs. Once the catheter is in place to take pictures of the legs, the doctor will then inject IV-dye (Iodine) to indicate blood flow in the legs. The doctor will take selective shots of bilateral legs and iliac arteries to allow him to see if the patient has blockages in the arteries, which is also referred as Peripheral Vascular Disease (PAD).
Peripheral Vascular Angioplasty/Stent Placement is typically a procedure followed up after the patient has had an Angiography. This procedure is for patients that have blockages in the arteries in the legs which is Peripheral Vascular Disease (PAD). This procedure takes place in our Outpatient Lab in our office. The patient will receive an IV upon arrival for sedation. The patient receives conscious sedation to keep them comfortable throughout the procedure. For the procedure, the doctor will get access in either the left or right common femoral artery, which is your left or right groin. Once the doctor has access, he will use a wire and a catheter to guide him to the blockage in the leg. The doctor will then take pictures with IV-Dye (Iodine) to indicate the blood flow in the artery to confirm the blockage. Once the blockage is confirmed the Doctor will proceed with balloon angioplasty, balloon angioplasty is a catheter with a small balloon on the end, the doctor is able to inflate the balloon to open this blockage. After the balloon is deflated and removed the doctor will take a photo by injecting the IV-dye to see to results. Stent Placement can be considered, if the blockage is severe and needs further treatment. If so, the doctor will place a stent in the artery to hold this blockage open. If the patient does get a stent placement, the patient does receive a stent card that they can keep showing where the stent was placed for when going to a hospital or etc. The patient will have to lie flat for a certain amount of time for recovery. If the patient receives a closure device the recovery is 2-4 hours depending on stability. If the patient does not receive a closure device the recovery is 4-6 hours depending on stability. The patient will follow up at the office in 2 weeks post procedure.
Intravascular Ultrasound is a procedure performed at our Outpatient Lab in our office. This procedure is to allow the Doctor to see if there is any compression in the iliac veins. This is an outpatient procedure, which means “same day discharge”. The patient will receive an IV for sedation. The patient is given conscious sedation but is not completely asleep. For the procedure the Doctor will make bilateral incisions in the left and right common femoral vein, which is the left and right groin. The doctor will then inject IV-dye (Iodine) to take a picture to confirm we are in bilateral iliac veins, once the doctor has confirmed he will run two wires in the veins, one on the left side and one on the right side. Then, the doctor will use a catheter called IVUS which is a small camera/ultrasound that allows him to see if the patient has any compression in the iliac veins by comparing the sizes of the veins. If the patient has compression the doctor will discuss with the patient if stents are needed in the iliac veins. After the procedure is performed, the patient will lay flat for 2-4 hours depending on stability and discharged home.