Peripheral artery disease (PAD) is a serious vascular condition caused by the buildup of plaque in the arteries, restricting blood flow to the legs and feet. Without proper treatment, PAD can lead to chronic pain, non-healing wounds, and even limb amputation. Atherectomy is a minimally invasive procedure that removes hardened plaque from the arteries, restoring circulation and preventing complications.
At Vascular Surgery Associates, our board-certified vascular specialists in Los Angeles and Santa Monica provide advanced atherectomy procedures using the latest technology to effectively treat PAD and improve mobility.
Understanding Peripheral Artery Disease (PAD) and Its Risks
PAD affects over 8.5 million Americans, particularly those over 60, smokers, and individuals with diabetes, high cholesterol, or high blood pressure. It occurs when plaque (fatty deposits) builds up in the arteries, narrowing or blocking blood flow to the legs. If left untreated, PAD can cause pain, ulcers, infections, and in severe cases, gangrene leading to amputation.
Common Symptoms of PAD
- Leg pain, cramping, or heaviness when walking (claudication)
- Coldness or numbness in the legs and feet
- Slow-healing sores or ulcers on the toes, feet, or legs
- Skin discoloration or shiny skin on the legs
- Weak or absent pulses in the feet
Early intervention is crucial to preventing complications. If you experience persistent leg pain, wounds that won’t heal, or changes in skin color, consult a vascular specialist immediately.
What is Atherectomy and How Does It Work?
Atherectomy is a minimally invasive endovascular procedure that removes plaque buildup inside the arteries, restoring normal blood flow. Unlike angioplasty and stenting, which push plaque against artery walls, atherectomy physically removes the blockage, making it an excellent option for patients with severe calcified plaques or those who have had unsuccessful angioplasty.
How the Procedure is Performed
- A small catheter is inserted into the blocked artery through a tiny incision in the groin or leg.
- A specialized atherectomy device is guided to the affected area.
- The device cuts, shaves, or vaporizes the plaque buildup, restoring the artery’s natural size.
- The plaque is safely removed, and the artery is evaluated for optimal blood flow.
- In some cases, angioplasty and stenting may be performed to further improve circulation.
Atherectomy is performed on an outpatient basis, allowing most patients to go home the same day and resume light activities within a few days.
Types of Atherectomy for Peripheral Artery Disease
There are several types of atherectomy devices, each designed to remove plaque in different ways. The best technique depends on the location and severity of the blockage.
Directional Atherectomy
A small rotating blade cuts and removes plaque from the artery wall
Rotational Atherectomy
A spinning burr grinds hardened plaque into tiny particles, which are naturally absorbed by the body
Laser Atherectomy
A high-energy laser breaks down and vaporizes plaque, reducing artery narrowing
Orbital Atherectomy
A diamond-coated crown sands away plaque, allowing for smoother blood flow
At Vascular Surgery Associates, our specialists use the most advanced atherectomy techniques to provide precise, effective treatment with minimal recovery time.
Who is a Candidate for Atherectomy?
Atherectomy is recommended for patients with moderate to severe PAD who:
- Have significant artery blockages that limit mobility
- Experience leg pain even at rest (critical limb ischemia)
- Have non-healing wounds or ulcers due to poor circulation
- Have severe, calcified plaque that is difficult to treat with angioplasty alone
- Are not candidates for bypass surgery due to health concerns
A comprehensive vascular evaluation, including ultrasound and angiography, helps determine if atherectomy is the best treatment option.
Benefits of Minimally Invasive Atherectomy for PAD
Atherectomy offers several advantages over traditional vascular surgeries, making it an ideal option for many patients.
Minimally invasive
Small incision with no major surgery required
Immediate symptom relief
Many patients experience reduced pain and improved circulation within days
Faster recovery time
Most return to normal activities within a week
Effective for hardened or calcified plaque
Best suited for severe artery blockages
Reduces need for stents
In some cases, atherectomy alone is enough to restore blood flow
Our Los Angeles and Santa Monica vascular specialists tailor each treatment plan to the patient’s unique condition, ensuring the most effective, lasting results.
Frequently Asked Questions About Atherectomy for PAD
No, the procedure is performed under local anesthesia and mild sedation, ensuring patients remain comfortable throughout the treatment.
The procedure typically takes 30 minutes to an hour, depending on the severity of the blockage.
Most patients return home the same day and can resume light activities within 24-48 hours.
Atherectomy removes plaque entirely, making it an excellent choice for severely calcified blockages. However, angioplasty and stenting may still be needed in some cases to further improve circulation.
Most insurance plans, including Medicare, cover atherectomy for PAD if medically necessary. Our office provides insurance verification and assistance.
Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Get Expert Atherectomy Treatment in Los Angeles & Santa Monica – Restore Healthy Circulation
Peripheral artery disease can lead to serious complications, but advanced atherectomy procedures can remove dangerous blockages, restore blood flow, and relieve painful symptoms. At Vascular Surgery Associates, our expert vascular specialists in Los Angeles and Santa Monica provide cutting-edge, minimally invasive treatments for PAD, helping patients regain mobility and improve vascular health.
Contact us today to schedule a consultation and learn if atherectomy is the right treatment for you.