Peripheral Arterial Disease

Arteries deliver oxygen-rich blood from the heart to every part of the body, and the peripheral arteries carry blood away from the heart to the arms and legs. Peripheral Arterial Disease (PAD) develops when these arteries begin to build up plaque, obstructing and narrowing the passageway and preventing blood, oxygen, glucose from flowing to the legs. The buildup of fat, cholesterol and other substances causes of the pain and discomfort patients experience in their legs as the muscles and tissue starve for blood. Just like how the build up of plaque in the heart causes a heart attack, blocked blood flow in the legs causes a “heart attack” of the tissue and muscle in the legs and can lead to the death of the limb and ultimately the need for amputation.

If lifestyle modifications and medications are not enough to treat PAD, our physicians at Pedes Orange County utilize a combination of Angiogram, Atherectomy, Stenting, and Angioplasty to restore healthy blood flow through the arteries to all parts of your feet and legs. Our physician can also address arterial obstruction that occurs in other arteries such as in the arms or the renal artery that carries blood to the kidneys.
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  • Pain, cramping or discomfort in the legs while walking
  • Pain in the legs and feet while resting
  • Sores or infection in the toes or feet that heal slowly or not at all
  • Color changes on the skin

Common Causes of PAD

  • Age
  • Gender – males are at a higher risk than females
  • Hypertension (high blood pressure)
  • Diabetes
  • High cholesterol
  • Lack of exercise
  • Obesity
  • Smoking
  • Family history of vascular problems

Treatment for Arterial Disease

  • Angiogram
  • Atherectomy
  • Stent
  • Endovascular Angioplasty

Peripheral Arterial Disease

Patient Story

Non-Healing Ulcers

non-healing-ulcersA foot wound’s failure to close can often be the result of internal problems with the circulation in the arteries or veins. If someone has PAD, wounds around the foot and heel may not heal because the build up of plaque in the arteries blocks blood, glucose, and oxygen from reaching the area that needs healing. The longer a wound remains open, the greater the risk of infection and potential amputation.


Similarly, if someone has chronic venous insufficiency, the swelling and backwards flow of blood downward can cause intense pressure on the skin. This pressure can slowly cause damage to the skin around the ankles and legs, leading to venous leg ulcers.


Resolving the flow of blood through the arteries and veins is critical to helping wound care doctors and podiatrists close wound quickly. Our interventional radiologists help heal wounds by clearing the flow of blood through the arteries and diverting blood flow through healthy veins to help wound care treatment become more effective. It is important to establish as soon as possible weather PAD or venous disease are preventing the healing of a foot or leg ulcer.
Learn more about about treatment options.

What to expect | Your first appointment will involve the following


Your treatment will being with an ultrasound examination of your veins, arteries, or both, in your legs to diagnose the presence and extent of disease. Your test results will be immediately available to review with the doctor.

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Consult with the doctor

Once we review the results of your diagnostic tests, our physicians will help you develop a plan to provide you with the best treatment for your disease.

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Love this place, the staff and the Doctors. They help people that might otherwise have a greater problem! Very professional, answers all questions. Provides information so that patients understand.
Great vascular surgery facility in Orange County. Their doctors are great. Office looks very nice. Staff is really helpful and kind.

They take the time to understand the problem. You will feel like you are in very caring hands.

My experience at Pedes Orange County has been great! I have no complaints. Dr. Goldstein and Dr. Hewett have been professional in explaining my procedures and treatment plan. I have even recommended your office to my friends and people I know from church. Gregg and David (Ultrasound techs) have treated me well and the rest of the staff has been very helpful.