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Peripheral Artery Disease (PAD)

What is Peripheral Artery Disease?

Peripheral artery disease (PAD) is a form of atherosclerosis that affects the legs. Atherosclerosis is a thickening of the insides of the arteries which reduces blood flow and oxygen supply in the area. Atherosclerosis is a result of high levels of cholesterol – this causes a buildup of plaque on the walls of the arteries, narrowing the blood vessels and making it more difficult for blood to reach its destination. When sufficient blood (and oxygen) does not reach certain areas of the body, it can negatively impact the overall health of the tissues there.

PAD can affect both legs but may initially affect a single leg. Over time, PAD can lead to significantly reduced blood flow and hardening of the blood vessels. This can increase the chances of clot formation which can be life-threatening. Chronic limb ischemia is a form of PAD that ultimately results in tissue death. Prompt treatment for PAD is essential to retaining good functioning and tissue health in the legs.

Symptoms and Risk Factors

One of the primary symptoms of PAD is pain or discomfort in the legs. It may occur in the buttocks, feet, or toes, as well. Often, pain arises while walking but subsides while at rest. It may interfere with sleeping or concentrating, depending on the severity. Other symptoms of PAD include ulcers or poor wound healing – in severe cases, it may even result in gangrene.

The most common risk factors for PAD are a sedentary lifestyle combined with high cholesterol. High cholesterol in the blood makes it more likely for plaque to form as this oily substance sticks to the walls of the blood vessels. Other risk factors include smoking, diabetes, high blood pressure, and weighing over 30 percent more than your ideal weight.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– Josh R.

“Staff is awesome! Extremely knowledgeable & professional. They explained every step to me and spent plenty of time to answer my questions.”

– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

– Don S.

“I have been very impressed by the way this office functions. Each and every person I’ve encountered has been very personable and professional. I’ve had minimal wait times before being seen. The tests I’ve had were done efficiently and results explained to me quickly. I would highly recommend this office.”

– Robert G.

“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

– Todd H.

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How is Peripheral Artery Disease Diagnosed?

PAD can be diagnosed by performing an ultrasound or CT scan. These are completely non-invasive procedures that produce minimal discomfort. Once our team has a complete picture of the blood flow in the area, we can discuss your treatment options.

Peripheral Artery Disease Treatment Options

PAD treatment includes a multi-faceted approach. Medications and lifestyle interventions may be able to treat and prevent the worsening of the blood vessels. Revascularization may sometimes be recommended to enhance blood flow and prevent tissue damage. This may include angioplasty, a procedure that uses a tiny balloon to inflate and widen the blood vessel. A graft may also be used to bypass the artery and allow for better blood flow to the area. These minimally invasive procedures can be performed in our spa-like outpatient suite to ensure a comfortable, convenient experience.

Schedule a Consultation

At South Florida Vascular Associates, our expert team can help you get relief from symptoms and achieve a healthier outlook with peripheral artery disease. Meet with our providers during a consultation by calling or filling out our online form. We serve the greater Southeast Florida area with locations in Coconut Creek, Boynton Beach, and Plantation, FL.


William Julien, MD

Board-Certified Vascular Interventional Physician


Mana Khatkar, PA-C

Certified Physician Assistant


Anissa Rodriguez, NP-C

Certified Nurse Practitioner