Endovascular Procedures

Premier Vascular -  - Vascular Center

Premier Vascular

Vascular Center & Peripheral Vascular Specialist located in Yonkers, NY & Jackson Heights, NY

When you can’t enjoy a simple walk due to leg pain caused by plaque, an endovascular procedure safely and effectively removes the blockage without needing to do surgery. As a specialist in endovascular procedures, Nirav Patel, DO, at Premier Vascular has years of experience helping patients overcome leg pain, return to an active lifestyle, and regain a better quality of life. If you need an endovascular procedure, book an appointment online or call one of the offices in the Jackson Heights neighborhood of Queens in New York City, or Yonkers, New York.

Endovascular Procedures Q & A

What are endovascular procedures?

An endovascular procedure is a treatment that’s performed inside a blood vessel. Dr. Patel performs endovascular procedures using tiny cuts that are just large enough to insert a catheter into your blood vessel.

Catheters are thin tubes that are equipped with the specialized instruments needed to treat problems inside your arteries. The instruments come in different sizes to fit the varying width of each person’s blood vessels.

During your endovascular procedure, Dr. Patel uses real-time imaging, such as ultrasound, to see your blood vessels and guide the catheter.

What vascular conditions are treated with endovascular procedures?

Dr. Patel treats peripheral arterial disease (PAD) with endovascular procedures. PAD develops when arteries are blocked by plaque, a buildup of cholesterol and other substances that gradually enlarge, harden, and interfere with blood flow.

PAD most commonly develops in the arteries in your legs, causing symptoms such as leg fatigue, hair loss or slow hair growth on the affected leg, muscle cramps, and pain that occurs when you walk but improves while resting.

What types of endovascular procedures might I receive?

As a specialist in endovascular procedures, Dr. Patel often performs the following procedures:


Angiography is an imaging procedure that shows the details of your arteries using a special dye or contrast material together with X-rays. 

Dr. Patel inserts a catheter and advances it to the targeted artery. When the catheter is in place, he injects the dye while taking real-time X-rays. The dye highlights structures inside the blood vessel, clearly showing the location and size of the atherosclerotic plaque. 

In addition to diagnosing PAD, Dr. Patel uses angiography to plan other endoscopic procedures.

Angioplasty and stenting

During angioplasty, Dr. Patel uses a catheter equipped with a balloon, and in some cases, a mesh stent. After guiding the catheter to the location of the plaque, he inflates the balloon, which removes the blockage by pushing the plaque against the arterial wall.

Dr. Patel can perform an angioplasty procedure with or without placing a stent into the artery. If he releases a stent, the wire mesh expands after it’s inserted in the artery. The stent stays inside the artery to help keep it open and maintain normal blood flow.


Dr. Patel performs an atherectomy when the plaque is too hard to push out of the way with a balloon. Atherectomy catheters are equipped with devices such as rotating blades that cut away the plaque or a laser that uses heat to dissolve the plaque.

If you need an endovascular procedure, call Premier Vascular or schedule an appointment online.