{"id":340,"date":"2026-01-06T03:35:18","date_gmt":"2026-01-06T03:35:18","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=340"},"modified":"2026-04-11T03:56:05","modified_gmt":"2026-04-11T03:56:05","slug":"peripheral-artery-disease","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/cardiovascular-center\/peripheral-artery-disease\/","title":{"rendered":"Peripheral Artery Disease"},"content":{"rendered":"<section class=\"op-section disease\">\n<p>  <!-- Key takeaways --><\/p>\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">What we do<\/div>\n<div class=\"disease-kpi__value\">Endovascular therapy, bypass surgery, and vascular reconstruction<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Our focus<\/div>\n<div class=\"disease-kpi__value\">Integrated treatment planning with Cardiology<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Emergency care<\/div>\n<div class=\"disease-kpi__value\">24\/7 readiness for acute limb ischemia<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"disease-lead\">\n    At our Cardiovascular Center, we treat peripheral artery disease using a comprehensive approach that combines endovascular therapy and vascular surgery. We also provide multidisciplinary care for severe limb ischemia, including revascularization and wound management.\n  <\/p>\n<p>  <!-- Content rows --><\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>What it is<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Peripheral artery disease (PAD) occurs when arteries in the legs become narrowed or blocked, most commonly due to atherosclerosis. Reduced blood flow can cause leg pain during walking (claudication) and, in severe cases, non-healing ulcers or tissue loss.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Obstructive arteriosclerosis (ASO)<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n      For obstructive arteriosclerosis, we work closely with the Cardiology team and use a combination of<br \/>\n      endovascular therapy, vascular reconstruction, and bypass surgery.\n    <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li>\n          <strong>Comprehensive treatment planning:<\/strong><br \/>\n          Endovascular therapy and surgery are combined based on disease pattern and severity.\n        <\/li>\n<li>\n          <strong>Severe limb ischemia with ulcers:<\/strong><br \/>\n          We provide multidisciplinary care, including below-the-knee bypass and wound management.\n        <\/li>\n<li>\n          <strong>Cardiovascular assessment:<\/strong><br \/>\n          Evaluation of the heart and aorta is performed as needed to support integrated treatment planning.\n        <\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n      Treatment is planned based on the location of the lesion, the patient\u2019s overall condition, and the need for coordinated cardiovascular care.\n    <\/p>\n<\/p><\/div>\n<\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Arterial thrombosis<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n      We provide immediate emergency care for arterial thrombosis.<br \/>\n      Cases with underlying atherosclerotic disease are increasingly common.\n    <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li>24\/7 readiness for urgent intervention<\/li>\n<li>Close coordination with Cardiology<\/li>\n<li>Comprehensive management, including emergency bypass when indicated<\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n      Treatment is determined based on urgency, the affected artery, and the patient\u2019s overall condition.\n    <\/p>\n<\/p><\/div>\n<\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Catheter-based options<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n      Endovascular therapy (EVT) for peripheral artery disease is performed by the Cardiology Department at the same hospital. Advanced techniques for calcified lesions, including Rotablator, Diamondback, and Shockwave, are also available. In 2024, 626 EVT procedures were performed.\n    <\/p>\n<p class=\"disease-muted\">\n      <a href=\"\/en\/departments\/cardiology\/lower-extremity-arteriosclerosis-obliterans-lead\/\"><br \/>\n        Peripheral artery disease \u2014 EVT (Cardiology) \u2192<br \/>\n      <\/a>\n    <\/p>\n<\/p><\/div>\n<\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n      Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.\n    <\/p>\n<p class=\"disease-muted\">\n      For appointment requests and language support, please see the<br \/>\n      <a href=\"\/en\/departments\/cardiovascular-center\/#contact\">Cardiovascular Center<\/a> page.\n    <\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>What we do Endovascular therapy, bypass surgery, and vascular reconstruction Our focus Integrated treatment planning with Cardiology Emergency care 24\/7 readiness for acute limb ischemia At our Cardiovascular Center, we treat peripheral artery disease using a comprehensive approach that combines endovascular therapy and vascular surgery. We also provide multidisciplinary care for severe limb ischemia, including [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-340","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/340","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=340"}],"version-history":[{"count":5,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/340\/revisions"}],"predecessor-version":[{"id":1314,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/340\/revisions\/1314"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/268"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=340"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}