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Peripheral artery disease treatmentwithout surgery

If leg pain, cramping, or poor circulation is slowing you down, our board-certified physicians treat peripheral artery disease (PAD) with minimally invasive, image-guided procedures like angioplasty, atherectomy, and stenting. Most are done in our office through a pinhole. No major surgery, same-day return home.
  • No hospital stay
  • Same-day, outpatient
  • Covered by most insurance

~10%

Of adults are affected by PAD

Same-day outpatient

Typical in-office procedure

No major surgery

Image-guided through a pinhole

Board-certified / Fellowship-trained

Interventional radiologists

about PAD

What is peripheral artery disease (PAD)?

Peripheral artery disease (PAD) is a circulatory condition that occurs when narrowed arteries reduce blood flow to the limbs, most commonly the legs. It typically develops when plaque, made up of cholesterol, calcium, and other fatty substances, builds up along the artery walls. This process, known as atherosclerosis, restricts blood flow and can limit the oxygen supply to surrounding tissues.

As the arteries narrow and harden, your legs can't get the oxygen-rich blood they need, leading to pain, cramping, and slow-healing wounds. PAD affects about 1 in 10 adults, and because symptoms are often blamed on aging, it frequently goes undiagnosed. 

The good news: PAD is highly treatable, and most patients find relief without major surgery.
Know the signs

PAD symptoms and risk factors

PAD often develops slowly, and early symptoms are easy to dismiss as aging or inactivity. Knowing the warning signs 
and whether you're at higher risk โ€” is the first step toward protecting your legs and your heart.
Common symptoms of PAD
  • Leg cramping or pain when walking (claudication) that eases with rest
  • Numbness, weakness, or heaviness in the legs
  • Coldness in a lower leg or foot, especially on one side
  • Sores on the toes, feet, or legs that won't heal
  • Color changes or shiny skin on the legs
  • Slower hair or toenail growth on the legs and feet
  • A weak or absent pulse in the legs or feet
Who is at risk for PAD?

Risk rises with:

  • Smoking or tobacco use โ€” the single biggest risk factor
  • Diabetes
  • High blood pressure
  • High cholesterolย 
  • Age over 50, especially 65 and older
  • Family history of PAD, heart disease, or stroke
  • Obesity and a sedentary lifestyle

Left untreated, PAD can lead to non-healing wounds, infection, and in severe cases amputationย โ€” and because it reflects widespread atherosclerosis, it also raises the risk of heart attack and stroke. Early diagnosis greatly reduces these risks.

Prevention

Lower your risk of PAD

There are several precautionary measures you can take to lower your PAD risk factors and maintain good vascular health.

Avoid smoking

Smoking damages blood vessels, accelerates atherosclerosis, and heightens the risk of blood clot formation. By avoiding smoking and secondhand smoke, you can significantly reduce your chances of developing PAD.

Regular exercise

Physical activity improves blood circulation, strengthens the heart, and promotes the growth of collateral blood vessels that can compensate for blockages. Brisk walking, running, cycling, or swimming all benefit your vascular system.

Healthy diet

A diet built on lean proteins, whole grains, fruits, vegetables, and heart-healthy fats helps manage blood pressure, cholesterol, and weight. Limit sodium, saturated and trans fats, and processed foods.

PAD treatments

Minimally invasive PAD treatments

Every plan is personalized after non-invasive testing and imaging map exactly where your arteries are narrowed. 
Explore our in-office, image-guided procedures, each performed by board-certified interventional radiologists in Houston and Dallas. Select any treatment to learn how it works, what to expect, and recovery details.

Angioplasty

Opens blocked arteries with a balloon โ€” a tiny balloon-tipped catheter is guided to the narrowed artery and gently inflated to restore blood flow.

Learn more

Stenting

Inserts a small scaffold to keep the artery open after angioplasty, helping blood continue flowing freely in areas where a vessel may naturally re-narrow over time.

Learn more

Atherectomy

Uses a rotating device to remove plaque build up from arteries, especially hardened, calcified blockages that resist balloon angioplasty alone.

Learn more

Medications

Peripheral artery disease (PAD) management frequently involves taking medications to control symptoms and slow progression of the disease.

Learn more

MEET YOUR DOCTORS

Board-certified PAD specialists in Houston & Dallas

Our team has performed more than 40,000 minimally invasive vascular procedures and brings over 80 years of combined experience. Every physician is a board-certified, fellowship-trained interventional radiologist specializing in image-guided PAD treatments that restore blood flow and improve circulation.
Portrait of Eric Hardee

Dr. Eric Hardee

Co-Founder ยท Interventional Radiologist
Co-founder of Texas Endovascular and a board-certified interventional radiologist serving the Houston and Katy areas. Specializes in UFE, PAD, and vein disease.
Portrait of Dr Fox

Dr. William Fox

Co-Founder ยท Interventional Radiologist
Board-certified interventional radiologist and co-founder of Texas Endovascular, serving Central Houston. Specializes in fibroid embolization, vein disease, and PAD.
Dr. Jay Patel, M.D.

Dr. Jay Patel

Dallas-Fort Worth Interventional Radiologist
Board-certified interventional radiologist leading fibroid care at the Dallas and Plano clinics, offering UFE for women throughout the DFW metroplex.
Ryan Armstrong

Dr. Ryan Armstrong

Interventional Radiologist
Board-certified interventional radiologist providing advanced, minimally invasive care across Greater Houston โ€” uterine fibroids, vein disease, PAD, and joint conditions.

Dr. AJ Valenson

Interventional Radiologist ยท Bilingual (EN/ES)
Board-certified interventional radiologist and lead provider at the Clear Lake (Webster) clinic. Fluent in English and Spanish, serving the Houston Bay Area.
TREATMENT

How is peripheral artery disease (PAD) treated? Relief without major surgery

Modern PAD care is image-guided and done right in our office. Using live X-ray and ultrasound, our interventional radiologists reopen the narrowed artery and restore blood flow to your leg. No open surgery, no large incision, no hospital stay.
How PAD treatment works
  1. A thin catheter is inserted through a small puncture in the groin or arm and guided to the blockage using live imaging, with local anesthesia.

  2. The blocked artery is reopened using a balloon to widen it, an atherectomy device to remove plaque, or a stent to help keep it open, depending on the blockage.

  3. Blood flow to the leg improves, helping relieve symptoms such as cramping and pain caused by poor circulation.

Depending on the location and severity of your blockage, we may use balloon angioplasty, atherectomy, stent placement, or a combination. Most procedures take about an hour, and you can walk out and resume light activity the same day.

Outpatient, same-day

No hospital stay. You go home within an hour or two.

No surgical incision

Just a tiny puncture, with no open surgery or general anesthesia.

Walk in, walk out

Most patients return to normal activity within a day or two.

Covered by most insurance

Medically necessary PAD treatment is covered by most major plans and Medicare.

Could your leg pain be PAD?
Take our 60-second quiz to find out whether your symptoms point to peripheral artery disease.
Real patient stories

What patients say about peripheral artery disease (PAD) care at Texas Endovascular

Rated 5 stars by hundreds of Houston and Dallas patients

Rated 4.8 out of 5 stars based on 2737 customer reviews.

Convenient to you

PAD treatment centers across Houston & Dallas

Every location provides specialized PAD care from board-certified interventional radiologists at convenient clinics throughout Texas.

Houston

4747 Bellaire Blvd,
Suite 550
Bellaire, TX 77401
Clinic details

Katy

1331 West Grand Parkway
N, Suite 210
Katy, TX 77493

Clinic details

Sugar Land

7619 Branford Place
Suite 230
Sugar Land, TX 77479
Clinic details

The Woodlands

8850 Six Pines Drive,
Suite 280
The Woodlands, TX 77380
Clinic details

Clear Lake

390 East Medical Center Blvd
Webster, TX 77598
Clinic details

Dallas

3920 W Wheatland Rd
Suite 108
Dallas, TX 75237

Clinic details

Plano

5425 W. Spring Creek Parkway
Suite 100
Plano, TX 75024

Clinic details
Questions

Peripheral artery disease (PAD) FAQs

Still unsure? Our team is happy to answer your questions over the phone.
Am I a Candidate? Take the quiz713.489.8623469.294.5589

What is peripheral artery disease (PAD)?

Peripheral artery disease is a common circulatory condition in which narrowed arteries reduce blood flow to the limbs; most often the legs. It develops when plaque made of cholesterol, calcium, and fatty deposits builds up inside the artery walls (atherosclerosis). Reduced blood flow can cause leg pain and cramping and, if untreated, more serious complications.

What are the warning signs of PAD?

The most common sign is leg cramping or pain when walking that eases with rest, called claudication. Other warning signs include numbness or weakness in the legs, coldness in a lower leg or foot, sores on the toes or feet that won't heal, skin color changes, slower hair or nail growth, and a weak or absent pulse in the legs or feet.

How is PAD diagnosed?

PAD is diagnosed with simple, non-invasive tests. The most common is the ankle-brachial index (ABI), which compares the blood pressure in your ankle to your arm. Doppler ultrasound, and in some cases CT or catheter angiography, can map exactly where and how severely the arteries are narrowed so we can plan the right treatment.

What are the minimally invasive treatments for PAD?

  • Balloon angioplasty โ€” uses a small balloon to widen the narrowed artery and improve blood flow.
  • Atherectomy โ€” uses a specialized catheter to remove plaque buildup from the artery.
  • Stent placement โ€” inserts a small mesh tube to help keep the artery open and maintain blood flow.

Early-stage PAD can often be managed with medication, a structured walking program, and tobacco cessation. Minimally invasive procedures may be recommended when symptoms persist or circulation is significantly reduced.

What happens if PAD is left untreated?

Untreated PAD can progress to critical limb ischemia, non-healing wounds, infection, and in severe cases gangrene that may lead to amputation. Because PAD reflects widespread atherosclerosis, it also raises the risk of heart attack and stroke. Early diagnosis and treatment greatly reduce these risks.

What is recovery like after PAD treatment?

Downtime is minimal. Because the procedure is done through a small pinhole under local numbing, most patients go home the same day and return to light activity within a day or two. You'll avoid strenuous exercise and heavy lifting briefly, and we'll give you clear instructions for caring for the catheter site.

Does insurance cover PAD treatment?

Yes. Medically necessary PAD evaluation and treatment is covered by most major insurance plans and Medicare. Our team verifies your benefits and handles the paperwork before treatment begins, so you'll know what to expect up front.

Can PAD be prevented or reversed?

You can significantly lower your risk and slow PAD by quitting tobacco, staying active, eating a heart-healthy diet, and managing blood pressure, cholesterol, and diabetes. While existing plaque doesn't simply disappear, treatment restores blood flow and these habits keep your arteries healthier for the long term.

FROM OUR DOCTORS

Learn about PAD from the specialists who treat it

Our physicians break down the questions patients ask most, in plain language, without the medical jargon.