Healthy Lifestyle Changes
We offer cardiac rehabilitation and prevention programs as well as tobacco cessations clinics. Our caring and committed professionals can help you lose weight, stop smoking, start exercising, and lower your blood pressure. We monitor your progress, help you overcome symptoms such as leg pain, and boost your self-confidence to help you work toward a heart-healthy lifestyle.
Our providers are well versed in all the current medical therapies, including use of statins and anti-clotting drugs to improve blood flow, control symptoms, and slow the progression of peripheral artery disease.
Novel Therapies Through Clinical Trials
As a Duke patient, you may be eligible to participate in one of our clinical trials. Our providers are consistently asked to participate in trials studying the latest treatment advances -- including newer medications (such as anti-clotting drugs), dietary supplements, and new medical devices -- to reduce the progression of this disease.
Minimally Invasive Procedures
The provider inserts a thin, flexible tube called a catheter into a blood vessel and guides it to your narrowed artery to open it. Minimally invasive therapies include:
- Balloon angioplasty: A small balloon is inflated within the artery to push aside the blockages.
- Stenting: A tiny tube-shaped device, called a stent, is inserted into the artery after balloon angioplasty and expanded to hold the artery open. Some stents are coated with a drug to reduce the risk of blood clots in the artery.
- Atherectomy: A device inserted into the artery via a catheter gently scrapes away fatty deposits.
- Laser ablation: A laser painlessly vaporizes fatty deposits into particles tiny enough to be safely absorbed into the bloodstream.
Duke is one of the few centers in the southeast that can combine minimally invasive interventions and open surgical approaches to open your clogged arteries and improve blood flow. Your team will determine the right approach for you based on your medical condition, your individual anatomy, and the size and shape of your arteries. We customize your care with the goal of giving you the best possible outcome with the lowest risk of complications and the easiest recovery.
Bypass Graft Surgery
If you have severe peripheral vascular disease or are at risk for amputation, our surgeons may use a vein from another part of your body to create a new path for blood flow that bypasses the blocked artery.