PTAB with DETOUR System: A New Treatment Option for Patients with Complex Peripheral Artery Disease (PAD) Now Available
Arizona Endovascular Center Arizona Endovascular Center • March 25, 2024
PTAB with DETOUR System
Arizona EndsoVascular Center is committed to providing patients with the latest and most innovative treatments for Peripheral Arterial Disease (PAD). We are excited to announce that we now offer Percutaneous Transmural Arterial Bypass (PTAB) using the DETOUR System, an innovative percutaneous therapy designed specifically for long complex femoropopliteal disease.
PAD is a circulatory problem caused by blockages in the arteries, which can lead to a reduction in the flow of oxygenated blood to your body, particularly in your lower limbs. If left untreated, PAD can cause pain, loss of mobility, sores on your legs, feet or toes, and in severe cases, amputation.
PTAB with the DETOUR System provides an innovative alternative option that is minimally invasive and offers fast recovery times. PTAB with the DETOUR System is a minimally invasive approach that utilizes endovascular techniques and the patient’s own vasculature to create a bypass around the diseased area.
During the PTAB, your doctor will implant stent grafts that will pass through the arterial wall, into the adjacent vein, and back into the artery. The bypass created with the stent grafts will re-direct blood around the blockage to increase flow.
Our team of experienced physicians
and healthcare professionals is dedicated to delivering the highest quality patient care and providing our patients with the best possible outcomes.
For more information about PTAB using the DETOUR System and if you’re a candidate for this therapy, call us to schedule a consultation
so that you may talk to your doctor to review the risks and benefits of this therapy.
Data source
AHA Statistical Update. Heart Disease and Stroke Statistics—2022 Update: Summary. Circulation.2022;
145:e153–e639. DOI: 10.1161/CIR.0000000000001052
In this article, we discuss how vascular clinics treat varicose veins. Read on to learn more about this interesting and helpful topic.
Dealing with vascular issues often requires specialized medical attention. Let's explore the factors determining whether vascular surgery is right for you.
Living with varicose veins can be painful and frustrating, affecting both our physical comfort and our self-confidence. Fortunately, modern medicine offers effective treatments for these vein issues , but the key to successful treatment lies in choosing the right healthcare professional. When it comes to addressing vein problems, opting for a vascular surgeon can make all the difference. Here's why: Specialized Expertise: Vascular surgeons are specialists with extensive training and expertise in diagnosing and treating conditions that affect the blood vessels, including veins. Their focused knowledge allows them to accurately assess your vein issues and provide targeted treatment strategies. Comprehensive Evaluation: Vascular surgeons approach vein treatment with a thorough understanding of the entire vascular system. When you consult with a vascular surgeon, they will conduct a comprehensive evaluation to not only address your immediate vein concerns but also consider any underlying vascular conditions that may contribute to your symptoms. Tailored Treatment Plans : Vein problems vary from person to person, requiring personalized treatment approaches. Vascular surgeons excel in creating customized treatment plans that address your unique needs and preferences. Whether you require minimally invasive procedures like sclerotherapy or vein ablation or more complex interventions, a vascular surgeon can tailor a plan that suits you best. Advanced Techniques: Vascular surgeons are at the forefront of minimally invasive techniques for vein treatment. These innovative approaches offer numerous benefits, including reduced recovery times, minimal scarring, and lower risks of complications. By choosing a vascular surgeon, you can access the latest advancements in vein treatment technology for optimal results. Long-Term Care : Vein treatment doesn't end with the procedure itself. Follow-up care is crucial for monitoring your progress and ensuring the effectiveness of treatment. Vascular surgeons are committed to providing comprehensive, long-term care to their patients, offering support and guidance throughout the recovery process. Peace of Mind: Entrusting your vein treatment to a vascular surgeon provides peace of mind knowing that you are in the hands of a skilled and experienced specialist. Vascular surgeons adhere to stringent standards of patient care and safety, prioritizing your well-being at every step of the treatment journey. Don't let varicose veins hold you back any longer. Take the first step towards healthier veins by scheduling a consultation with experienced vascular surgeons. Our team at Arizona Endovascular Center specializes in diagnosing and treating vascular diseases, including abdominal aortic disease, renal arterial disease, and carotid arterial disease. With state-of-the-art technology and personalized care, we're dedicated to helping you achieve optimal vascular health and preventing the possibility of strokes or aneurysms. Make your appointment today and start your journey towards healthier, happier veins. Your vascular health matters, and we're here to help you every step of the way.
Dive into the depths of Peripheral Artery Disease (PAD) with our latest article!
Unravel the mysteries of PAD, also known as peripheral vascular disease (PVD) or hardening of the arteries, where plaque buildup in artery linings disrupts blood flow. Discover its causes, from lifestyle factors like smoking and diabetes to genetic predispositions.
Explore the symptoms of PAD, from claudication to critical limb ischemia, and learn how it's diagnosed through tests like ankle-brachial index and Doppler ultrasound.
Find out about the comprehensive treatment options, ranging from lifestyle changes to endovascular procedures and surgeries, tailored by board-certified vascular surgeons. From angioplasty to bypass grafting, understand how each approach aims to alleviate symptoms, enhance quality of life, and prevent complications.
Join us as we navigate the intricate world of PAD and unveil the pathways to effective management and care. Let's walk towards healthier arteries together!
Deep vein thrombosis (DVT) is when a blood clot forms in a deep vein. These clots usually form in the lower leg, thigh, or pelvis, but they can also occur in the arm. Sometimes the DVT will break off and go to the lungs. This is called a pulmonary embolism (PE). Cancer patients, especially cancer patients who are receiving chemotherapy, have a much higher risk of DVT than other people. Patients with brain, pancreatic, stomach, and lung cancers are at the highest risk. What Raises the Risk of DVT? Some things can raise your risk of getting a blood clot in a deep vein. For cancer patients, the most common risk factors are— Injury to a vein during major surgery. Slow blood flow. Staying in bed for a long time can cause this. Having a catheter in a central vein. As many as half of cancer patients with a central venous catheter for long-term chemotherapy get DVT. Getting older. Having obesity. How Can I Lower My Risk for DVT? Before getting surgery or having a catheter placed in a central vein, ask your doctor about medicine to lower your chance of getting a blood clot. This medicine is called an anticoagulant or blood thinner. Wear compression stockings (tight-fitting socks or stockings) to improve blood flow in your legs. What Are the Symptoms of DVT? About half of people with DVT have no symptoms at all. The most common symptoms of DVT are: Swelling. Pain. Tenderness. Redness of the skin. Skin redness or discoloration If you have any of these symptoms, call your doctor right away. What Health Problems Can DVT Cause? Pulmonary Embolism (PE) - Part of a blood clot in a vein (DVT) can travel through the bloodstream to the lungs. This is known as a pulmonary embolism (PE). People can recover from this if the clot is small and they get the right treatment. But a large clot can stop blood from reaching the lungs, causing death. This is the leading cause of death in people with cancer after the cancer itself. A pulmonary embolism can cause— Trouble breathing. A fast or irregular heartbeat. Chest pain that usually gets worse if you cough or take a deep breath. Coughing up blood. Low blood pressure, lightheadedness, or fainting. A test called a CT scan, or CAT scan, may be used to find a pulmonary embolism. As many as half of all PEs in cancer patients are found in this way. Seek immediate medical attention if you experience any of these signs of a blood clot in your lung. Post-Thrombotic Syndrome Nearly one-third of people who get a DVT will have long-lasting health problems as a result. This is called post-thrombotic syndrome (PTS). PTS can cause swelling, pain, darkening or redness of the skin, and other problems. It makes the skin prone to infection (cellulitis), which can spread to the bloodstream, causing sepsis and death. Note: DVT (a blood clot in a vein) does not usually cause a heart attack or a stroke, as it occurs in a vein. Arteries carry oxygen-rich blood from the heart to the body. A blood clot in an artery, called arterial thrombosis, can cause heart attacks or strokes. Vascular Surgery Treatment of DVT Venous Thrombectomy Venous thrombectomy is the surgical removal of a vein clot. This procedure is most commonly used to treat DVT when the large vein that drains the leg, called the iliac vein, is involved. This procedure is rarely performed in the United States. Who is Eligible? Patients with an acute clot in the leg veins are eligible for venous thrombectomy. Pre-Treatment Guidelines: When a physician suspects DVT, he or she may order duplex ultrasound or venography. What to Expect A vascular surgeon performs thrombectomy in a hospital operating room. Just before the procedure begins, the patient is given an intravenous (through the vein) blood thinning agent called heparin. The physician inserts a catheter sheath (short tube) through a small incision in the femoral vein in the groin or the popliteal vein below the knee. Contrast dye is injected through the sheath and venography is performed, allowing the physician to see the area of the vein being treated on an x ray screen. For a percutaneous mechanical thrombectomy, the physician inserts a guide wire through the sheath in the femoral vein, advances the wire past the clot. There are multiple devices available for your surgeon to perform mechanical or aspiration thrombectomy. The procedure takes approximately 1 to 2 hours. Post-Procedure Guidelines and Care After the procedure, compression bandages are applied to the leg to reduce swelling. For up to 6 hours after the procedure, the patient may be asked to walk for 15 minutes, then rest for 45 minutes, and repeat. The patient is fitted with compression stockings after any leg swelling has subsided. Intravenous heparin is given during the recovery period to prevent blood clots. The patient should notify his or her physician immediately if he or she notices any of the following symptoms of excessive bleeding: Blood in urine or stools; Nosebleeds; Unusual bruising or bleeding from cuts or wounds; Unusually heavy or unexpected menstrual bleeding; Abdominal or stomach pain or swelling; Back pain or backaches; and Coughing up blood. Potential Complications Venous thrombectomy is controversial because it has been associated with repeat clotting. Other complications for treatment of DVT include: Pulmonary embolism; Post-thrombotic syndrome; Phlegmasia cerulea dolens; Excessive bleeding (hemorrhage); and Stroke.