

VASCULAR
Peripheral Vascular
Endovascular & Limb Salvage Therapy
Peripheral artery disease affects one in five adults over age 65, yet it is dramatically underdiagnosed and undertreated. Left untreated, PAD progresses to chronic limb-threatening ischemia — non-healing wounds, gangrene, and limb loss. Dr. Sanam offers a full spectrum of endovascular therapies to restore circulation in the legs, carotid arteries, and renal vessels, with a strong focus on limb salvage in the highest-risk patients.
Who Should See Us
- Leg pain, cramping, or fatigue with walking that improves with rest (claudication)
- Non-healing wounds or ulcers on the feet or legs
- Cold, pale, or discolored feet — especially with hair loss on the lower legs
- Diabetes with peripheral neuropathy or foot complications
- History of smoking with leg symptoms
- Carotid bruit or TIA (transient ischemic attack) workup
Procedures & Tests Offered
- 01Ankle-brachial index (ABI) — non-invasive screening for peripheral artery disease
- 02Peripheral angiography — diagnostic imaging of leg, carotid, and renal arteries
- 03Peripheral angioplasty and stenting — restoring blood flow to the lower extremities
- 04Atherectomy — directional, orbital, and laser plaque removal from peripheral arteries
- 05Chronic limb-threatening ischemia (CLTI) management — limb salvage protocols
- 06Carotid artery evaluation — stroke risk assessment and intervention planning
- 07Renal artery evaluation — secondary hypertension and renal insufficiency workup
- 08Venous disease and DVT management — deep vein thrombosis and chronic venous insufficiency
Dr. Sanam will review your history, imaging, and test results to determine the most appropriate approach for your situation.
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