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Types Of Peripheral Artery Disease Explained

types of peripheral artery disease

Types of Peripheral Artery Disease Unveiled

It is essential to keep your blood vessels healthy. It helps you feel good overall, yet vascular issues often go unnoticed or are misunderstood. One of the most common of these is Peripheral Artery Disease, or PAD. It impacts millions worldwide, but many take it for granted. They don’t realize how complex it can be, or how vital early detection is.

Complete knowledge of the various peripheral artery diseases, in addition to their symptoms, diagnosis techniques, and their associated treatments, is a must for early diagnosis and good treatment. This comprehensive guide gives information about the types of PAD and disease conditions along with the current peripheral artery disease treatment supported by healthcare organizations and the Advanced Medical Group.

What is Peripheral Artery Disease

Peripheral Artery Disease happens when arteries—especially those in your limbs—get narrowed or blocked due to fatty deposits (also known as plaque). It makes the blood vessels narrow and block. It becomes more difficult for your limbs to receive blood flow, which can cause you pain or distress when you walk or move. PAD will get worse if it is not treated. It is vital to catch PAD at early stages, because it prevents the serious complications that may occur in the future.

Some individuals with PAD do not have symptoms. The importance of regular screening tests exists because they enable early detection and treatment of the condition. The PAD treatment costs through surgery differ substantially based on national healthcare systems, individual institutions, and the treatment options chosen by patients.

Major Types of Peripheral Artery Disease

PAD represents multiple disorders that appear across different arteries in the body. Healthcare professionals identify and treat major types of PAD with these definitions, diagnosis methods, and treatment approaches:

Lower-Extremity PAD

The most typical presentation of PAD involves the blockage of arteries that supply blood to the legs and feet. The reduced blood flow in PAD causes walking-related pain (claudication), while severe cases show either rest pain or non-healing ulcers.

Diagnosis:

  • Medical experts evaluate skin conditions and examine pulses and signs of ulcers through physical examination.
  • Doctors can perform an ultrasound, CT angiography, or MRI tests.
  • Healthcare providers use the Ankle-Brachial Index (ABI) as a simple diagnostic test.
  • This test compares blood pressure measurements between the arm and ankle regions.
  • PAD2 diagnosis becomes likely when ankle blood pressure shows a value less than 0.90.

Treatment:

  • Medications include cholesterol-lowering drugs, blood thinners, blood pressure medicine, and vasodilators.
  • Patients must adopt lifestyle changes that primarily include stopping smoking, regular exercise, and following a balanced diet.
  • The medical procedures of angioplasty and stenting, together with the bypass surgery.
  • The patient needs supervised exercise therapy for distance walking improvement.

Upper-Extremity PAD

This rarer PAD version affects arteries that supply blood flow to the upper body, particularly the arms, hands, and fingers. Activity-related pain or weakness, or fatigue in the arms, represent symptoms of Upper-Extremity PAD.

Diagnosis and Treatment:

The diagnostic protocol mirrors lower-extremity PAD but involves using ABI scans on arm arteries plus possible imaging procedures. Patients receive care through risk factor control strategies and need revascularization procedures as needed.

Carotid Artery Disease

Carotid Artery Disease affects the arteries in the neck that supply blood to the brain. Blockages in these arteries increase the risk of a stroke, which can lead to serious brain damage or disability if not treated.

Diagnosis:

  • Carotid ultrasound
  • CT or MR angiography

different types of peripheral artery disease

Treatment:

  • Medications for blood pressure and cholesterol
  • Doctors perform carotid endarterectomy along with stenting procedures to treat severe blockages in the arteries.

Mesenteric Artery Disease

The disease affects the arteries that provide blood supply to the intestines. The condition presents with abdominal pain following meals and weight reduction as its main symptoms.

Diagnosis:

  • Imaging: CT angiography or MRI

Treatment:

  • Lifestyle changes and medication management.
  • Surgical or endovascular intervention for advanced cases.

Renal Artery Disease

It develops when renal arteries become blocked or narrowed which reduces blood flow to the kidneys. The condition leads to high blood pressure and kidney problems that can cause permanent renal damage unless treated promptly.

Diagnosis:

  • Blood tests for kidney function
  • Renal artery ultrasound or angiography

Treatment:

  • The patients are required to take their Blood pressure.
  • People who have arterial blockages might have to go through angioplasty along with stenting therapy.

Special Types and Related Conditions

Medical care should focus on different types of peripheral artery disease and other vascular problems, like venous diseases and aneurysms. Proper treatment helps improve circulation and prevent further issues.

Types of PAD

Critical Limb Ischemia (CLI)

The severe PAD condition called CLI leads to chronic rest pain along with non-healing wounds or gangrene. Medical teams categorize CLI as an urgent condition that presents a strong possibility of amputation of limbs.

Diagnosis:

  • Medical professionals use both clinical evaluation and imaging tests to measure the degree of blocked arteries.

Treatment:

  • Aggressive revascularization that involves angioplasty or a bypass surgery, depending on the severity.
  • Life-threatening circumstances may require wound treatment as well as possible amputation to avoid fatal infections.

Venous Disease and Varicose Veins

Some vascular specialists who focus on treating PAD also oversee venous disease patients due to their combined occurrence with PAD.

  • Duplex ultrasound for diagnosis
  • Compression therapy, sclerotherapy, or surgery for management.

Abdominal Aortic Aneurysm (AAA) AAA

functions as a related condition to classic PAD because it results in aorta dilation, which places patients at risk for rupture.

Diagnosis:

  • Abdominal ultrasound or CT scan

Treatment:

  • Monitoring for small aneurysms.
  • Surgical repair for larger or symptomatic aneurysms.

Moving Forward With Peripheral Artery Disease

The successful treatment of peripheral artery disease depends on patient understanding the conditons and symptomes as well as medical provider awareness of different types of peripheral artery disease. Following any PAD warning signs, you must see a vascular specialist or visit the Advanced Medical Group for PAD evaluation. The successful management of peripheral artery disease requires proactivity because it leads to better health outcomes and increased physical activity.

The best way to look after your health is to start today and make small, consistent changes!

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Fathima

Fatima Shaik MD

Cardiologist

Fatima Shaik is a board certified internist and cardiologist. She specializes in general cardiology and heart rhythm disorders. She cares for patients at Advanced Medical Group in Jersey City and North Bergen. She also performs procedures at Jersey City Medical Center.

She completed her undergraduate education at NYU and received her MD degree for SUNY Downstate Medical Center. She completed her residency training at Mount Sinai Beth Israel Medical Center and her cardiology fellowship at New York Presbyterian Queens. She went on for advanced training in electrophysiology at Cooper Hospital in Camden, NJ.
She is trained in device implantation, SVT and atrial fibrillation ablations as well as watchman implantations.
She is fluent in English and Hindi.
She is currently accepting new patients.

Reema Parikh, DPT

Physical Therapist

Reema Parikh received two bachelor’s degrees from Long Island University and Touro College, and graduated as a Doctor of Physical Therapy from Touro College in 2013. In her early years as a DPT, she received an award for excellence in research and taught a course for the national physical therapy licensing board exam. Dr. Parikh has a passion for helping patients on their health journey; she is experienced in all ages and care of patients, ranging from pediatric care to geriatric care. She has hosted live and virtual workouts for varying levels of physical activity, incorporating mobility and strength segments. Dr. Parikh has furthered her education by receiving certifications in many aspects of physical therapy and holistic care including Nutritional PT, Restorative Yoga, Pilates, and Reiki.

Maria-Avila

Maria Avila, NP

Nurse Practitioner

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Jersey City

Union City

West New York

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Jersey City

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Dr. Parab

Aishwarya Parab, PT

Physical Therapist

Aishwarya Parab received her Bachelors in Physiotherapy in India in 2015 and furthered her studies at Long Island University where she graduated with her Masters in Exercise Science, Sports, and Nutrition in 2019. She has experience working with various conditions, including herniated disks, spondylolysis, and post-operative mobility issues. Aishwarya has taken courses to expand her knowledge in the physical therapy world, including spinal mobility courses, neuromuscular reeducation courses, and getting a certificate with Revolution in Motion. Aishwarya finds it exceedingly rewarding to build a long-term relationship with her patients and shows commitment towards providing structured and effective healthcare.

Dr. Prajakta Avhad

Prajakta Avhad, MD

Pain Management located in Franklin Township, Somerset, NJ & East Brunswick, NJ

About Dr. Avhad
Dr. Prajakta Avhad is double board-certified in Pain Management and Anesthesiology. Dr. Avhad received her M.B.B.S. from MIMER, India, and completed her Surgical internship and Anesthesia residency at Brookdale University Hospital in Brooklyn, New York during which she interned at Memorial Sloan Kettering, St. Luke’s Roosevelt, and Staten Island Hospital.

She then completed her Pain Management Fellowship from Cleveland Clinic Foundation.

Dr. Avhad is a diplomate of the American Board of Anesthesiology and a member of the American Academy of Pain Medicine.

Dr. Avhad has been in practice in Central and South Jersey for more than 12years. She is a caring physician with expertise and experience in treating a spectrum of Pain conditions like chronic back and neck pain, herniated discs/sciatica with minimally invasive interventional procedures.

Dr. Avhad and her family reside in New Jersey. She is an avid gardener active with her kids, dog, and garden if not tending to her broad and exotic orchid collection.

Radhika Patel PA-C

Radhika Patel, PA-C

Physician Assistant located in Jersey City, NJ

About Patel
Graduating summa cum laude from Rutgers University with a BA in Biological Sciences and minor in Spanish, Radhika Patel obtained experiences in outpatient medicine as well as in emergency medical services prior to pursuing a career as a physician assistant. She graduated from the Rutgers University Physician Assistant program with a Master of Science after training in cardiology, internal medicine, and urgent care, among many other fields at various hospitals and private practices throughout the state of New Jersey. She is a proud member of the team at Advanced Garden State Cardiology and looks forward to meeting with patients each day in our Jersey City office.

Enrique D Chappilliquen Lucio, PA-C

Enrique Chappilliquen, PA-C

Physician Assistant located in Union City, NJ & Jersey City, NJ

About Dr. Chappilliquen
Graduated from Mercy College Physician Assistant Program with a Masters of Science in Physician Assistant Studies, Enrique has extensive experience in the medical field for more than 6 years.

He has clinical experience and training in internal medicine, cardiology, general and vascular surgery, hematology, oncology, and emergency medicine. He joined Dr. Richard’s practice in October of 2016. Since then, he has been a dedicated medical provider working in the Union City office and the Hematology/Oncology office in Jersey City as well.

As a Hispanic, he proudly serves his community with passion and devotion. Being able to communicate fluently with his patients allows him the opportunity to provide excellent medical care to the Hispanic community in Union City and Jersey City. Also, sharing the same language, culture, and values as his patients allows him to connect at a personal level with his patients. Enrique continues to develop his knowledge and skills constantly to continue satisfying the needs of his patients.

Dr Christopher Samaniego, DPM

Christopher Samaniego, DPM

Podiatrist located in Jersey City, NJ, Union City, NJ, and West New York, NJ

Christopher Samaniego, DPM, is originally from Freehold, New Jersey. He attended college at Messiah College, where he graduated Magna Cum Laude with a degree in Biology. He earned his podiatric medical degree from Temple University School of Podiatric Medicine in Philadelphia, PA and completed his surgical residency training at Detroit Medical Center in Detroit, MI. 

Dr. Samaniego provides comprehensive foot and ankle care at Advanced Medical Group in Jersey City, Union City, and West New York. His specialized surgical training includes

  • Bunion
  • Hammertoe correction
  • Diabetic foot care
  • Fungal nail care
  • Plantar fasciitis, tendinitis, orthotics
  • Gout, warts, neuroma care
  • Flat feet and high arched feet
  • Foot and ankle trauma
  • Adult and paediatric foot conditions
  • Arthritis of the foot and ankle
  • Arthroscopy, joint replacement, minimally invasive techniques

Samaniego is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association. He keeps up to date on the latest surgical techniques and available technology in foot and ankle care.

Prior to joining Advanced Medical Group, Samaniego studied public healthcare in Zambia and assisted in providing care to the local community. He has also presented research at the annual meeting of the American College of Foot and Ankle Surgeons. Samaniego achieved the highest rank of Eagle Scout through the Boy Scouts of America and volunteered with Troop 454 for scouts with special needs and the Freehold Public Library. In his free time, Samaniego volunteers with his local church community service and youth programs.

Samaniego resides in Jersey City, NJ and maintains his health by cycling and interval training several times a week. He explains, “Healthy doctors inspire healthy patients. I follow the same advice I give my patients, and I read constantly to become a better physician every day. I encourage my patients to ask questions and learn about the cause of their symptoms. An ounce of prevention is worth a pound of cure.”

Dr. Merwin Richard, MD. A cardiologist

Merwin Richard, MD

Cardiologist located in Jersey City, NJ & Union City, NJ

As an established board-certified internist and cardiologist, Merwin Richard, MD, has a reputation for helping patients with the most complex of health conditions. He cares for patients at Advanced Medical Group in West New York, Jersey City, and Union City, New Jersey.

Richard began his undergraduate education in medicine at Stanley Medical College in India. He earned his doctor of medicine degree from Tamil Nadu Dr. M.G.R. Medical University before relocating to New York City.

After completing both his internship and internal medicine residency through the Albert Einstein College of Medicine, Dr. Richard went through advanced fellowship training. He completed a cardiovascular fellowship at Columbia University College of Physicians and Surgeons, then went on to finish a second fellowship in interventional cardiology through Mount Sinai School of Medicine (now Icahn).

 

Throughout his career, Richard has stayed involved in numerous research projects and previously served as a professor at the University of Medicine and Dentistry of New Jersey (now Rutgers University). Richard went on to become the director of the first cardiac catheterization and interventional laboratory in Jersey City and has extensive training in vein treatments.

To ensure he continues staying up to date with the latest research and techniques, Richard maintains his board memberships. He’s board certified through the American Board of Internal Medicine in cardiovascular disease and interventional cardiology.

Being fluent in English,  Spanish, and Tamil gives Richard the opportunity to communicate with patients from diverse cultural backgrounds. Richard is currently accepting new patients.

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