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Includes Expert Content
PAD and stents
msrytw posted:
I am 49 yrs old and have recently been diagnosed with PAD. My cardiologist told me I may need a stent. I am going to a vascular surgeon tomorrow and am terrified of surgery. Due to previous bad experiences, it terrifies me. The cardiologist explained somewhat Friday and I know the surgeon will go into detail. I would like to hear a patient viewpoint (someone who has already had this done).
James Beckerman, MD, FACC responded:
It might be helpful to ask your doctor why you "need" a stent. Unless you are in danger of losing a limb, stenting helps primarily with symptoms, which can improve your ability to exercise more. It might also be worth discussing a structured exercise program which may help improve circulation to your legs and improve symptoms, even without a procedure.
cardiostarusa1 responded:

I'm not a peripheral artery disease (PAD) stent patient, but just wanted to mention here, though PAD (which typically affects both legs) often goes hand-in-hand with coronary artery disease (CAD), it may/can have a different course (severity) as that of CAD.

The bottom line

Stents (bare-metal or drug-eluting) are only a Band-aid or spot-treatment as it does not address the disease process and what drives the progression.

Best of luck down the road of life.

Take care,


WebMD member (since 8/99)



Be well-informed

Patient resources


Provided By The Society For Vascular Surgery

Peripheral Artery Disease

Vascular Disease Foundation (VDF)

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_ . _

Heart-Healthy Foods

Nothing complicated, just plain and simple!

foods high in saturated fat and cholesterol. CHOOSE skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. LIMIT servings to five to seven ounces a day. TRIM visible fat. Limit egg yolks. SUBSTITUTE two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. USE LESS salt and fat. SEASON WITH herbs and spices rather than with sauces, gravies and butter

_ . _

Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).



"Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

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