Peripheral Vascular Disease
Intermittent claudication, defined as a symptomatic deficiency in blood supply to exercising muscle which is relieved with rest, is generally a reliable indicator of occlusive arterial disease. In its severe form, the decrease in local perfusion can lead to ischemic rest pain or gangrene. The symptoms vary with the vessels that are involved. For example, cramping in the upper two-thirds of the calf is usually due to superficial femoral artery stenosis, cramping in the lower third of the calf to popliteal disease, buttock and hip claudication to bilateral aortoiliac disease, thigh claudication to common femoral artery involvement, and foot claudication to occlusion of the tibial or peroneal vessels. Percutaneous peripheral vascular angioplasty and/or stenting is an alternative to bypass surgery in many selected cases and is offered at BIDMC. In addition, the same techniques can be used for carotid disease, renal artery disease, Aortic Aneurysms, AV Fistula and malformation, and venous disease, occlusive and thromboembolic.