Peripheral artery disease (PAD) is a serious vascular condition that affects millions of Americans, reducing blood flow to the legs and feet. When arteries become narrowed or blocked, patients may experience leg pain, difficulty walking, and non-healing wounds–and in severe cases, limb amputation may be necessary.
At Vascular Surgery Associates, our expert vascular surgeons in Los Angeles and Santa Monica provide minimally invasive lower extremity angioplasty to restore circulation, relieve pain, and prevent complications. With advanced balloon angioplasty and stenting techniques, we offer effective alternatives to traditional bypass surgery for PAD treatment.
Why Lower Extremity Angioplasty is Performed
There are two primary reasons for performing lower extremity angioplasty:
Relieve Walking Pain (Claudication)
Reduced blood flow to the legs can cause pain, cramping, or fatigue while walking, making daily activities difficult.
Prevent Amputation
Severe PAD can cause non-healing wounds and ulcers, increasing the risk of gangrene and limb loss.
If arterial blockages are responsible for leg pain or ulcers, lower extremity angioplasty can help reopen the arteries and improve blood circulation, significantly enhancing mobility and quality of life.
What is Lower Extremity Angioplasty?
Lower extremity angioplasty is a minimally invasive procedure that uses a small balloon to open narrowed or blocked arteries in the legs. This procedure helps restore blood flow to the lower limbs, reducing symptoms and preventing serious complications.
How the Procedure Works
- A small catheter is inserted into the artery through a tiny puncture in the groin or leg.
- Using real-time imaging, the balloon is guided to the blocked section of the artery.
- The balloon is inflated to widen the artery, restoring normal blood flow.
- A stent (small metal mesh tube) may be placed to keep the artery open long-term.
- Once the artery is successfully treated, the catheter is removed, and the small incision is bandaged.
The procedure is performed on an outpatient basis, meaning most patients go home the same day.
Success Rates and Advanced Technology in Lower Extremity Angioplasty
The effectiveness of angioplasty depends on the location and length of the blockage:
- Iliac artery angioplasty (above the groin) has success rates nearly equal to surgery, especially for localized blockages.
- Angioplasty below the groin has a 50% success rate after one year, but newer drug-coated balloons and advanced stents have improved long-term results.
At Vascular Surgery Associates, we utilize the latest endovascular techniques, including drug-coated balloons and specialized stents, to maximize success and prevent restenosis (artery re-narrowing).
Who is a Candidate for Lower Extremity Angioplasty?
This procedure is ideal for patients who:
- Experience leg pain or cramping when walking (claudication) due to PAD
- Have non-healing wounds or ulcers on the feet caused by poor circulation
- Are at risk for amputation due to advanced arterial disease
- Have been diagnosed with PAD through vascular imaging
- Prefer a minimally invasive alternative to bypass surgery
If you have difficulty walking, chronic leg pain, or open wounds that won’t heal, a consultation with our vascular specialists can determine if angioplasty is right for you.
The Importance of PAD Treatment – Don’t Ignore the Warning Signs
Peripheral artery disease (PAD) affects over 8.5 million Americans, yet many cases go undiagnosed and untreated. According to the American Heart Association, PAD increases the risk of:
Heart attack or stroke
Patients with PAD are six times more likely to suffer a cardiovascular event.
Non-healing ulcers
Without treatment, severe PAD can lead to chronic wounds and infection risks.
Amputation
More than 150,000 PAD-related amputations occur each year in the U.S.
Early intervention with lower extremity angioplasty can prevent complications, improve mobility, and enhance overall vascular health.
Frequently Asked Questions About Lower Extremity Angioplasty
The procedure typically takes 45 minutes to an hour, depending on the severity of the blockage.
No, the procedure is performed under local anesthesia with mild sedation, ensuring patient comfort.
Most patients resume normal activities within 24-48 hours, with some requiring a few days of rest.
In many cases, a stent is placed to keep the artery open, especially if the blockage is severe or long.
Yes, most insurance plans, including Medicare, cover angioplasty if medically necessary. Our office will assist with insurance verification and approval.

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.
Expert PAD Treatment in Los Angeles & Santa Monica | Schedule a Consultation Today
If leg pain, walking difficulties, or slow-healing ulcers are affecting your daily life, lower extremity angioplasty offers a minimally invasive solution to restore circulation and prevent complications. At Vascular Surgery Associates, our leading vascular specialists in Los Angeles and Santa Monica provide state-of-the-art angioplasty treatments to help patients regain mobility and improve vascular health.
Contact us today to schedule a consultation and find out if angioplasty is the right treatment for your PAD.