Peripheral Arterial Disease

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Treatment for Peripheral Arterial Disease (PAD)

Often, patients suffering with PAD have no symptoms. Although, in some cases patients can develop a pain in their legs when they walk, which then disappears after a few moments of rest. The medical term for this is “intermittent claudication”. Initially we would recommend and aid you through making lifestyle changes and medication.

Booking your initial consultation will enable Liverpool Vascular Clinic to assess your condition and provide the advice and specific treatment that’s right for you.

The Treatment & Process

A full and comprehensive range of treatments are offered by the Liverpool Vascular Clinic who will assess and provide the appropriate treatment for you. Below are some of the most common treatments we offer.


All treatment plans start with our assessment / initial consultation. This allows our specialists to fully understand your condition and work out the right path of treatment for you.


Lifestyle changes and medication are the most common ways to treat PAD and we can help devise a plan to help you. This will include:

The most helpful changes you can make are to start regularly exercising and, if you’re a smoker, to reduce and give up smoking. These changes can help ease the symptoms of PAD and reduce the chances of it getting worse. It’s also important to:

  • eat a healthy diet
  • lose weight, if you’re overweight or obese
  • moderate your consumption of alcohol

We will also look into any underlying causes and treat them, including high blood pressure, high cholesterol, and diabetes. Medicine and, in some cases, surgery can be used to improve the blood flow in your legs.

Arterial Duplex

At the Liverpool Vascular Clinic we use a specialised form of ultrasound scanner (known by many people as the type of machine used for scanning babies in the womb). This will give us images of the tissues and blood vessels in your legs/pelvis and information on the blood flow through them which in turns helps us diagnose and treat your condition.

Using the images and measurements of blood speed and volume we are able to accurately determine if there is any narrowing, enlargement, or blockage in the arteries and, if so, how severe this is.

Narrowing or blockage of arteries in the leg can cause intermittent claudication – an ache in the leg brought on by exercise (usually walking). This ache will generally go away when the exercise is stopped. It is sometimes associated with a severe shortage of blood supply to the leg or foot which may require urgent attention.

Surgical intervention ( Bypass or Angioplasty)

In some cases we may need to give you surgery to help with your condition. Angioplasty is a common procedure we would use to help with PAD. The term “angioplasty” means using a balloon to stretch open a narrowed or blocked artery. However, most modern angioplasty procedures also involve inserting a short wire-mesh tube, called a stent, into the artery during the procedure. The stent is left in place permanently to allow blood to flow more freely.

Lower limb bypass is required for limb preservation or to treat severe claudication. It diverts blood around narrowed or clogged parts of the major arteries to improve blood flow and oxygen supply to the heart.

If required, any surgery will be discussed with you and we will fully support you throughout the procedure and aftercare.


Re-Assess and discharge

All treatment plans include a quick clinical follow-up around 6 weeks post procedure. You will speak with your clinician to review the improvement in appearance and symptoms as discussed during your diagnosis. Following this appointment you can expect to be discharged from our care and get on with enjoying your life.

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Patient Reviews

"Following the discovery of abnormal blood pressure readings I was fortunate enough to be referred the consultant vascular surgeon Dr Neequaye.

Tests and scans revealed that I had a rare arterial plumbing configuration. Following discussion we decided that the condition would be managed medically with now annual checks and two yearly scans.

I am grateful for his level of expertise,the confidence this inspires and for the inclusive nature of our consultations. "

Mrs H from Liverpool

"I found him to be an extremely skillfull, cautious and approachable Vascular Surgeon and despite the challenges created by the pandemic left no stone unturned at the pre-op stage.

He was never rushed and always took time to explain, in layman’s terms, and sometimes with sketches precisely what he was proposing as the solution to my pending complex Aortic Aneurysm repairs.

My procedure took place in early June 2021, I now feel fit and well and extremely fortunate indeed that my Surgeon was Mr Simon Neequaye."

Brian D

"After struggling with the veins in my left leg for 8 years, deciding to proceed with treatment from Mr Neequaye was the best thing I ever did. He kept my calm throughout the procedure, and the results are better than I’d have imagined."

Imogen E