Treating peripheral artery disease

 

There are three main approaches to treating peripheral artery disease (PAD): making lifestyle changes; taking medication; and in some cases, having a special procedure or surgery.

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Lifestyle Changes

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Taking Medications

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Special Procedure or Surgery

If lifestyle changes or medication are unable to improve your condition, your doctor may turn to a procedure known as angioplasty. During this procedure, a balloon catheter is used to open narrowed blood vessels.


How does a balloon catheter
treat PAD?

The balloon catheter uses a small balloon-like tube placed over a thin wire that is guided through a blood vessel to the location of the narrowing. The balloon is then inflated to open the narrowed vessel and restore blood flow.

 
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Unfortunately, as many as 50% of patients see the vessel narrow again within 6 months of their procedure using this method.1

 

 How do drug-coated balloons work?

For the TRANSCEND clinical trial, you were treated with a drug-coated balloon (DCB). The procedure begins just as it would with a standard balloon catheter.

However, once the narrowed vessel has been opened with a balloon catheter and blood flow is been restored, the doctor removes the first catheter and guides a DCB to the treatment site. 

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THE DRUG-COATED BALLOON IS GUIDED
TO THE TREATMENT SITE

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THE DRUG-COATED BALLOON IS THEN
INFLATED TO TREAT THE LESION

The DCB is then inflated, allowing the drug on the outside of the balloon to be transferred to the vessel wall. The drug used in the TRANSCEND trial is designed to prevent the vessel from narrowing again in the area where the medication is applied.

References:

  1. Zeller T. Drug coated balloons: hope or hype? Available at: http://evtoday.com/2012/08/drug-coated-balloons-hope-or-hype/. Accessed August 12, 2019.