Prine vascular

PRINE Health's Full Service Vascular Outpatient Lab

Peripheral Arterial Disease (PAD) Treatment

What Is Peripheral Arterial Disease (PAD)?

PAD (also called Peripheral Vascular Disease, or PVD) is a disease in which the arteries in the limbs become narrowed...

PAD And Chronic Kidney Disease

Unfortunately, certain diseases lead to a greater risk of developing PAD--Chronic Kidney Disease (CKD) being one of them.

How Is PAD Treated?

If the disease is caught early enough, a few lifestyle changes and the introduction of medication may suffice in the treatment of the disease.

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Really grateful for such a great team of staff members. They were informative, attentive, and caring. Marina made me feel relaxed and calm, checking on me often. It was a great environment and I highly recommend them.

Greg Woo
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Really grateful for such a great team of staff members. They were informative, attentive, and caring. Marina made me feel relaxed and calm, checking on me often. It was a great environment and I highly recommend them.

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Greg Woo
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Dr Shah is very kind, caring, and knowledgeable. The PA Marina and the office manager Annie were both super helpful. Everyone we encountered from start to finish was lovely

Michelle Levi
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Dr Shah is very kind, caring, and knowledgeable. The PA Marina and the office manager Annie were both super helpful. Everyone we encountered from start to finish was lovely

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Michelle Levi
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The staff was very patient,friendly and kept me informed of what was happening..I would and have reccomended Dr Shah to friends that are going thru the same thing i had.

Sheilah Fitzpatrick
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The staff was very patient,friendly and kept me informed of what was happening..I would and have reccomended Dr Shah to friends that are going thru the same thing i had.

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Sheilah Fitzpatrick
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Everyone is so friendly and on top of everything I appreciate all that they have done. So professional

addy fritzhand
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Everyone is so friendly and on top of everything I appreciate all that they have done. So professional

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addy fritzhand
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If there were 10 stars I would give 10 stars. The Dr has an amazing bedside matter and does not rush you out. The offices are clean, quick and very officiant. There is never a weight and the office runs on time. I can confidently say that I have found a PCP that I will keep.

Christina Iannello
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If there were 10 stars I would give 10 stars. The Dr has an amazing bedside matter and does not rush you out. The offices are clean, quick and very officiant. There is never a weight and the office runs on time. I can confidently say that I have found a PCP that I will keep.

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Christina Iannello
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Great nice stuff, going an extra mile to make you feel good.

Yanky Reichman
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Great nice stuff, going an extra mile to make you feel good.

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Yanky Reichman
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Friendly, great and knowledgeable staff and MD. Highly recommend

Amit Ansari
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Friendly, great and knowledgeable staff and MD. Highly recommend

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Amit Ansari
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Very helpful Staffs, The place is nice and clean

Alex O
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Very helpful Staffs, The place is nice and clean

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Alex O
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They are very knowledgeable in their field. They throughly answer all your questions

Christopher Cermak
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They are very knowledgeable in their field. They throughly answer all your questions

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Christopher Cermak
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Very efficient. Saw doctor in timely manner. Doctor is caring and thorough. Office is pleasant and clean

Esther Soullas-Chrisafis
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Very efficient. Saw doctor in timely manner. Doctor is caring and thorough. Office is pleasant and clean

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Esther Soullas-Chrisafis
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Great experience! The doctor, Dr Arielle Feilich was wonderful, friendly and considerate. Spend time with me answered all my questions. The staff was friendly and efficient. Location easy to reach and no problem with finding parking. Thank you for the wonderful experience at your office

Koula Stefou
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Great experience! The doctor, Dr Arielle Feilich was wonderful, friendly and considerate. Spend time with me answered all my questions. The staff was friendly and efficient. Location easy to reach and no problem with finding parking. Thank you for the wonderful experience at your office

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Koula Stefou
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Amit Shah
Amit
Shah, MD
Vascular Surgeon
Marina Travalja
Marina
Travalja, PA
Vascular Surgeon

PRINE Vascular Locations

PRINE Vascular Center - Queens

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What Is Peripheral Arterial Disease (PAD)?

PAD (also called Peripheral Vascular Disease, or PVD) is a disease in which the arteries in the limbs become narrowed by plaque, a fatty substance that builds up over time. This leads to less blood flow to the extremities, and as a result of the legs and feet receiving less oxygen, the patient may experience several symptoms:

PAD And Chronic Kidney Disease

Unfortunately, certain diseases lead to a greater risk of developing PAD--Chronic Kidney Disease (CKD) being one of them. While smoking, diabetes, high blood pressure, and high cholesterol are all already very common in the CKD population, there are other effects of CKD that also promote PAD: chronic inflammation, low blood albumin (a protein in the blood produced by the liver), and increased calcification for example.

Relatively recent studies indicate that as high as 24% of patients with CKD (of at least stage 3) also suffer from PAD--though this is likely an underestimation given that the clinical definition (and diagnostic characteristics) of PAD have changed since the time of these publications, as PAD is rapidly rising in the medical field as a growing concern.

With improved awareness, vigilance, and improved treatment techniques, it has been shown that patients with CKD and diabetes tend to have a more calcified form of PAD, meaning that the plaque in their arteries is harder and more rigid, making the restoration of blood flow more difficult. Thankfully, PRINE Vascular’s state-of-the-art facility employs the best in medical technology, in which recent advancements have cleared the way for restoring the pliability of these arteries.

How Is PAD Treated?

If the disease is caught early enough, a few lifestyle changes and the introduction of medication may suffice in the treatment of the disease. However, given the underdiagnosis of PAD, most patients aren’t aware that they have the disease until some degree of intervention is necessary.

PAD interventional treatment is as simple as a small nick in the groin, leg, or foot through which a catheter is inserted--all within the comfort and ease of an outpatient setting. Using contrast dye and X-rays, Dr. Simon can visualize the arteries and determine the degree to which any disease is present. Then, he can treat it on the spot. Treatment consists of a combination of atherectomy, angioplasty, and stenting. Atherectomy is a process in which a device is used to clear some of the plaque from the artery.

Atherectomy devices can sand, burn, or cut the plaque out of the artery, allowing for the structure to be more flexible once again. From there, balloon angioplasty may be employed, where a balloon is inflated within the artery to expand the arterial wall. The balloon is then deflated and removed before the procedure is over. In some instances, this can be the end of the procedure; however, in a few cases, the doctor may decide that a stent is necessary to retain the opening of the artery. A stent is a small, metal mesh tube that becomes a permanent structure once placed. It acts as a skeleton for the artery, providing support so that it remains open.

While medical advancements have made it much more possible to treat PAD, it is not a reversible disease. This means that, even with proper treatment, over time the disease will progress. Because of this, it is incredibly important that any patients treated for PAD follow up with their vascular specialist in a timely manner.