SIH Vascular Services

Peripheral Artery Disease Treatment

Bypass Grafting

Your physician may recommend bypass grafting surgery if blood flow in your limb is blocked or nearly blocked. For this surgery, your physician uses a blood vessel from another part of your body or a man-made tube to make a graft. This graft bypasses (that is, goes around) the blocked part of the artery. The bypass allows blood to flow around the blockage. This surgery doesn’t cure PAD, but it may increase blood flow to the affected limb.

Angioplasty and Stenting

Your physician may recommend angioplasty to restore blood flow through a narrowed or blocked artery. During this procedure, a catheter (thin tube) with a balloon at the tip is inserted into the carotid artery. The balloon is then inflated, which pushes plaque outward against the artery wall. This widens the artery and restores blood flow. A stent (a small mesh tube) may be placed in the artery during angioplasty. A stent helps keep the artery open after angioplasty is done.

Atherectomy

Your physician may recommend this procedure to remove plaque buildup from an artery. During the procedure, a catheter (a thin tube) is used to insert a small cutting device into the blocked artery. The device is used to shave or cut off plaque. The bits of plaque are removed from the body through the catheter or washed away in the bloodstream.

Endovascular AAA Repair

An endovascular abdominal aortic aneurysm (AAA) repair, or EVAR, is a minimally invasive procedure used to treat an aneurysm in the abdominal aorta, which is a bulging or weakened area in the main artery that carries blood from the heart to the lower body. During the procedure, small incisions are made in the groin to access the femoral arteries. Using real-time X-ray imaging (fluoroscopy), a catheter is guided through the arteries to the site of the aneurysm. A stent graft—a fabric tube supported by a metal mesh—is then inserted through the catheter and carefully positioned within the aneurysm. Once in place, the stent graft is expanded to create a new pathway for blood flow, effectively sealing off the aneurysm and reducing the risk of rupture. This approach avoids open abdominal surgery, resulting in less pain, shorter hospital stays, and quicker recovery times.

Carotid artery disease treatment

Angioplasty and Stenting

Your physician may recommend angioplasty to restore blood flow through a narrowed or blocked artery. During this procedure, a catheter (thin tube) with a balloon at the tip is inserted into the carotid artery. The balloon is then inflated, which pushes plaque outward against the artery wall. This widens the artery and restores blood flow. A stent (a small mesh tube) may be placed in the artery during angioplasty. A stent helps keep the artery open after angioplasty is done.

Carotid Endarterectomy

If the arteries are very narrow, you may need an operation called a carotid endarterectomy to remove the plaque. This procedure removes plaque buildup from an artery by inserting a small cutting device into the blocked artery. The device is used to shave or cut off plaque. The bits of plaque are removed from the body through the catheter or washed away in the bloodstream.

Our Service Locations