PAD and Blocked Leg Artery Treatment in Chicago

What is angioplasty?

Peripheral artery disease (PAD) treatment opens blocked arteries in the legs so blood can reach the muscles and skin again. At MIMIT Health, an interventional radiologist uses angioplasty, a small balloon on a thin tube, and sometimes a stent to restore blood flow through a tiny opening in the skin. Most patients go home the same day.

A minimally invasive procedure used to open narrowed or blocked arteries as a result of peripheral artery disease. As a result, blood flows more easily to your legs and feet. It’s more beneficial for patients than open surgery because recovery times are shorter, allowing you to return to normal activities faster.

Angioplasty procedure steps

What happens before the procedure?

  • Patients undergo a thorough evaluation including blood tests and imaging studies to find the location of the blockages.

  • You will then receive medicine to help you relax while remaining awake but sleepy. You may also get blood-thinning medicine to prevent clots. Your interventional radiologist will inject numbing medicine for local anesthesia, so you won’t feel pain.

Doctor's gloved hand placing a catheter through a small skin opening during angioplasty

What happens during angioplasty?

  • After administering a local anesthetic, the doctor will make a tiny incision in the patient’s skin and then insert a catheter.

  • Through this catheter, dye will be released to create X-rays of the area that the doctor is working on.

  • When a blockage is found, the physician will use an angioplasty balloon at the end of the catheter to expand it in order to push aside any fatty deposits that are blocking blood flow.

  • As soon as the openings are unblocked, a stent may be inserted to hold them open and improve circulation.

Doctor pointing to an angiogram image of leg arteries

How long does the procedure last?

Our team completes the procedure in an hour. The actual angioplasty, which involves inserting a balloon catheter to open narrowed or blocked arteries, may only take a short time, usually around 15 to 30 minutes. However, additional time may be needed for pre-procedure preparation and post-procedure monitoring to ensure the patient's safety and recovery. In total, patients should expect to spend a few hours at our clinic.

MIMIT team member in a surgical cap and mask in the procedure room

When is a procedure needed for PAD?

Peripheral artery disease treatment does not always start with a procedure. Medicines and a structured walking program are usually tried first for leg pain that comes on with walking. Angioplasty may help when daily activities stay limited despite these treatments. Pain at rest, or wounds on the feet or legs that will not heal, are signs of very poor blood flow that need prompt treatment.

Balloon or stent?

Angioplasty opens a narrowed artery with a small balloon. A stent is a small mesh tube that can be left in place to help hold the artery open. Your doctor decides whether a stent is needed based on the blockage, and not everyone needs one.

Results and follow-up

Angioplasty and stenting can improve walking and help leg wounds heal, but how long the benefit lasts differs from person to person. Results depend on which artery was treated, how long the blockage was and your overall health. The artery can narrow again, so follow-up visits, prescribed medicines, regular walking, and not smoking stay part of your care.

Risks of angioplasty and stenting

Angioplasty and stenting can cause bruising or bleeding where the catheter enters the skin. Less common complications include injury to the artery, a blood clot, or a reaction to the X-ray dye, which can also affect the kidneys in people who already have kidney problems. Your doctor reviews your personal risks before treatment. Get urgent care for heavy bleeding or a foot that suddenly turns cold, painful or numb.

Related treatments at MIMIT

MIMIT also treats abdominal aortic aneurysms without open surgery.

PAD Treatment FAQs

Medically reviewed by Dr. Paramjit "Romi" Chopra, M.D., interventional radiologist - October 2026