Peripheral Vascular Disease Specialist

Vascular & Interventional Institute of Louisville

Mahmoud Samman, MD

Vascular and Interventional Radiologist & Endovascular Surgeon located in Louisville, KY

Million Americans have peripheral vascular disease (PVD), including conditions like peripheral artery disease (PAD), venous insufficiency, and deep vein thrombosis (DVT). Mahmoud Samman, MD, and the team at Vascular & Interventional Institute of Louisville diagnose and treat most types of PVD for patients living in and around Louisville, Kentucky. If you have symptoms of PVD like leg pain, swelling, or ankle discoloration, call Vascular & Interventional Institute of Louisville or schedule a consultation online today for state-of-the-art diagnosis and treatment.

Peripheral Vascular Disease Q&A

What is peripheral vascular disease?

Peripheral vascular disease or PVD is the collective term for a group of circulatory disorders that affect your arteries, veins, and capillaries. 

Peripheral artery disease (PAD) is the most common type of PVD. It develops when your arteries become hard and narrow because of a build-up of plaque inside your blood vessels. 

Chronic venous insufficiency develops when the valves in your veins are weak or damaged. Your blood doesn’t move efficiently and can leak backward and pool in a section of a weakened vein. Deep vein thrombosis develops when a blood clot forms in one of the veins located deep inside your legs. 

Pelvic congestion syndrome is another type of peripheral vascular disease that affects the veins in women’s pelvic area. It causes pelvic pain, abnormal periods, and other uncomfortable symptoms.

In general, peripheral vascular disease causes symptoms, including:


  • Pain, cramps, and heaviness in the legs
  • Swelling in the ankles and feet
  • Legs that easily fatigue
  • Muscle weakness 
  • Skin discoloration 
  • Varicose and spider veins
  • Ulcers 


You should talk to Dr. Samman about any signs of PVD. When left untreated, these conditions can lead to dangerous complications. 


What causes peripheral vascular disease?

Many factors contribute to peripheral vascular disease, including having high cholesterol, hypertension, or diabetes. Your risk is also higher if you smoke or eat too much salt, sugar, and fat. Other factors that add to your chances of developing PVD include:


  • Aging
  • Being overweight or obese
  • Pregnancy
  • Leading a sedentary lifestyle


If you have a family history of high cholesterol, high blood pressure, or any vascular disease, you can reduce your risk by making healthy lifestyle choices. 


How is PVD diagnosed?

Dr. Samman and his team use ankle-brachial index (ABI) testing and state-of-the-art diagnostic imaging to diagnose peripheral vascular disease. 

They begin with a thorough consultation, reviewing your symptoms, medical history, and lifestyle. They also perform an exam to check your pulse, listen to your circulation, and observe visible signs of PVD. 

Depending on your condition, the team offers X-rays, ultrasounds, CT scans, MRIs, and angiograms to examine your blood vessels, and check for signs of narrowing, weakness, or blockages. 


How is peripheral vascular disease treated?

Treatment for peripheral vascular disease depends on the specific condition and the severity of your symptoms. Dr. Samman specializes in interventional radiology and provides treatments, including:


  • Medication
  • Sclerotherapy
  • Radiofrequency or laser ablation
  • Angiogram 
  • Angioplasty
  • Stenting
  • Atherectomy 
  • Thrombolysis
  • Thrombectomy 
  • Pelvic vein embolization 
  • Bypass surgery


Dr. Samman uses innovative X-ray and ultrasound imaging to guide your treatment and deliver the best possible results. He might also recommend lifestyle modifications or smoking cessation support to improve your vascular health.

Call Vascular & Interventional Institute of Louisville or make an appointment online today for expert diagnosis and treatment for peripheral vascular disease.