Arterial Revascularization in Los Angeles

Treatment for Peripheral Artery Disease

Couple walking after arterial revascularization in Los Angeles

If you have peripheral artery disease (PAD) or critical limb ischemia (CLI), arterial revascularization can help restore blood flow to your legs and feet.

Peripheral artery disease happens when the arteries that supply blood to your limbs become narrowed or blocked, often by fatty deposits called plaque. If untreated, PAD can progress to CLI, a serious condition marked by severe pain, non-healing wounds, or even gangrene.

Arterial revascularization refers to medical procedures that reopen blocked or narrowed arteries. Revascularization significantly reduces symptoms, helps heal vascular wounds, and decreases the risk of amputation.

There are two main types of arterial revascularization:

(1) Endovascular Revascularization
(2) Surgical Revascularization

Peripheral arterial revascularization specialist Dr. Michael Lalezarian in Los Angeles, California

Arterial Revascularization Specialist

Dr. Michael Lalezarian

The right Vascular Specialist can make all the difference. Dr. Michael Lalezarian is a double-board certified Vascular Interventional Radiologist specializing in minimally invasive arterial revascularization for peripheral artery disease. He is a committed partner in the battle against the devastating consequences of debilitating vascular conditions.
ProVascularMD 5 Star Google Rating

“I was referred to ProVascularMD after an ultrasound showed serious issues in my leg. I was at the point where I could only walk a few feet. Dr. Lalazarian’s staff was friendly and professional. Doc himself was straightforward with me with his diagnosis and changed my life. The surgical staff was amazing. It was the first surgery I ever had and I was nervous as all get out. But they made me feel comfortable and confident. Dr. Lalazarian was everything I could have asked for as a surgeon. Today I can walk again. Hallelujah!”

Michael G, May 2024

Endovascular Revascularization

Endovascular revascularization is a minimally invasive treatment that involves threading a thin tube (catheter) through a small puncture in your skin into the affected artery. Endovascular procedures typically mean shorter hospital stays and quicker recovery times compared to traditional surgery. Common endovascular treatments include:

Angioplasty

A tiny balloon is guided to the site of the blockage through the catheter. Once positioned, the balloon is inflated, compressing plaque against the artery walls and widening the artery to improve blood flow. After deflation, the balloon is removed.

Stenting

Often done alongside angioplasty, a stent (a small mesh tube) is placed into the artery to keep it open after the balloon has widened it. The stent provides ongoing structural support, preventing the artery from narrowing again.

Atherectomy

This procedure uses specialized tools guided through the catheter to physically remove plaque from the artery walls. Atherectomy is particularly useful when arteries have severe plaque buildup that isn’t easily compressed by a balloon. Atherectomy will typically be done alongside angioplasty.

Arterial Revascularization in Los Angeles
See a Vascular Specialist
Imaging for endovascular arterial revascularization
Example of vascular imaging used to guide endovascular revascularization.

Surgical Revascularization

Surgical revascularization procedures are more invasive surgeries that are done through major incisions and dissection techniques, often requiring longer hospital stay and recovery time compared to endovascular procedures.

Surgical Bypass

Your surgeon creates a detour around the blocked artery using either your own vein or a synthetic tube. This allows blood to bypass the blockage and flow smoothly to your limbs. Surgical bypass is especially effective when blockages are extensive or complex.

Endarterectomy

During this procedure, the surgeon opens the affected artery and directly removes the plaque blocking blood flow. Endarterectomy is particularly beneficial when there is a localized, accessible blockage that can be clearly removed to restore blood flow.

Arterial Revascularization in Los Angeles
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Peripheral artery disease before and after arterial revascularization
Imaging of artery the leg affected by peripheral artery disease before (left) and after (right) arterial revascularization.

After Revascularization

After arterial revascularization, managing your overall health is vital. You may need medications like blood thinners and cholesterol-lowering drugs, along with lifestyle changes such as quitting smoking, regular exercise, and healthy eating to get the full benefits of arterial revascularization.

Visit a Top Revascularization Specialist in Los Angeles

If you’re experiencing symptoms like leg pain, wounds that won’t heal, or coldness in your feet, it’s important to talk with a vascular specialist. Timely treatment with arterial revascularization can significantly improve your quality of life, reduce the risk of limb loss, and help you maintain your independence and mobility.

At ProVascularMD, we’ve helped hundreds of patients find relief from the symptoms of severe peripheral artery disease. Our staff of top vascular specialists focus on minimally invasive endovascular therapies to minimize trauma and get you back on your feet as quickly as possible. Get in touch with us at one of our Los Angeles vascular centers to find out if revascularization is right for you.

More Resources
Lower Extremity Arterial Disease

Lower Extremity Arterial Disease

Learn what it is, how to spot symptoms, and your treatment options in this quick overview.
Peripheral Artery Disease Screening

Peripheral Artery Disease (PAD) Screening

Learn why peripheral artery disease screening is essential in the battle against amputation.
Peripheral Arterial Disease Treatment

Peripheral Arterial Disease Treatment

A brief 101 on the treatment options available for arterial disease.
Arterial Ulcer Treatment

What Are Arterial Ulcers?

Signs and symptoms of arterial ulcers, and how to treat them.
Los Angeles Vascular Specialist Dr. Michael Lalezarian

Vascular Specialist in Los Angeles

Learn more about Los Angeles Vascular Specialist Dr. Michael Lalezarian.

References [1] Berger, JS., Davies, MG. Overview of lower extremity peripheral artery disease (Beyond the Basics). UptoDate. Accessed May 2025. [2] Dosluoglu, HH. Endovascular techniques for lower extremity revascularization. UpToDate. Accessed May 2025. [3] Davies, MG. Management of claudication due to peripheral artery disease. UpToDate. Accessed May 2025. [4] Patient education: Peripheral artery disease and claudication (The Basics). UpToDate. Accessed May 2025. [5] Gerhard-Herman (2017). 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary. Journal of the American College of Cardiology, 69(11), 1465–1508.

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