• Kapural L , Melton J , Kim B , Mehta P , Sigdel A , Bautista A , Petersen EA , Slavin KV , Eidt J , et al . Primary 3-Month
• Shutze W , Gable D , Ogola G , Eidt J . Prosthetic outcomes after amputation and the impact of mobility
• Decreased pain
• Improvement in functional capacity
• Increased leg strength
• Reduction of additional risks associated with PAD
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New treatments and technology for PAD
Vascular surgeons on the hospital ’ s medical staff use a wide variety of catheter-based therapies to diagnose and treat PAD . A hybrid imaging suite provides physicians with the capability of placing drug-coated stents in blocked arteries using minimally invasive approaches .
Lower extremity PAD can be especially serious and challenging . Vascular surgeons on the hospital ’ s medical staff see patients from throughout North Texas and the nation for this condition and may perform an angioplasty , place a stent or perform a bypass . In other cases , the vascular surgeon may opt to use a thrombolytic agent to dissolve a blood clot that may be blocking an artery .
BOLT : Study of the Indigo ® Aspiration System When Used in Patients With Deep Vein Thrombosis . A patient at Baylor Scott & White Heart and Vascular Hospital – Dallas was the first in Texas to receive the Indigo Aspiration System to treat deep vein thrombosis ( DVT ). Led by principal investigator Javier Vasquez , MD , RPVI , FACS , the BOLT study is a prospective , multi-center study of patients with DVT to evaluate the safety and efficacy of the Indigo System . The hospital is the only study site in Texas .
In addition , some patients may need a filter removed and replaced with a later generation filter . This system allows the removal with a less invasive procedure where previously there was not a technological advancement to assist vascular surgeons with such cases .
A few of the articles published in journals related to this subject matter :
• Kapural L , Melton J , Kim B , Mehta P , Sigdel A , Bautista A , Petersen EA , Slavin KV , Eidt J , et al . Primary 3-Month
Outcomes of a Double-Blind Randomized Prospective Study ( The QUEST Study ) Assessing Effectiveness and Safety of Novel High-Frequency Electric Nerve Block System for Treatment of Post-Amputation Pain . Pain Resource . 2024 June 6 ; 17:2001-2014 .
• Shutze W , Gable D , Ogola G , Eidt J . Prosthetic outcomes after amputation and the impact of mobility
level on survival . Journal of Vascular Surgery . 2024 April 24 : S0741-5214 ( 24 ) 01071-1 .
A newer treatment option pioneered at Baylor Scott & White Heart and Vascular Hospital — Dallas that is available for patients with PAD is extracorporeal shockwave therapy . The procedure involves introducing a balloon-tipped catheter into the blocked artery . The balloon is expanded , and sonic pressure waves are created that break up the calcium plaque blockage in the artery wall . This minimally invasive technology provides instant pain relief and restores the use of the patient ’ s lower extremities .
IVC filter removal system
Among the several vascular surgery “ firsts ” that occurred , notable was the first in Texas break-through procedure using new laser device technology approved by the FDA for the removal of an older and problematic IVC filter in a patient with prior history of DVTs . Bradley Grimsley , MD , used the Philips CavaClear system that received “ Breakthrough Device Designation ” from the FDA . The FDA recommended that if an IVC filter is no longer necessary it should be removed .
Supervised exercise therapy for PAD
Patients with PAD are eligible to receive supervised exercise therapy ( SET ) if diagnosed with PAD caused by arterial insufficiency and if classic intermittent claudication is present . Exercise training helps slow the decline in the ability to function and move through daily activities .
Offered through cardiac rehabilitation at Dallas , Fort Worth and Waxahachie locations , benefits of SET for PAD include :
• Decreased pain
• Improvement in functional capacity
• Increased leg strength
• Reduction of additional risks associated with PAD
More information about SET for PAD : 214.820.2109
Baylor Scott & White Heart and Vascular Hospital — Dallas | Vascular Surgery