Skip to content
FloodGate Medical
Inside Peripheral Vascular and Endovascular

Peripheral Artery Disease recruiting and talent strategy.

Peripheral artery disease (PAD) device work covers the tools that restore blood flow to the legs: angioplasty and drug-coated balloons, bare metal and drug-eluting stents, atherectomy and calcium modification, crossing devices for chronic total occlusions and below-the-knee therapies for chronic limb-threatening ischemia. Cases are done by interventional cardiologists, vascular surgeons and interventional radiologists, in hospital cath labs and hybrid rooms and, more and more, in physician-owned office-based labs. That mix of specialties and sites of care shapes every hire, from the clinical specialist who supports a case to the account manager who understands how an office-based lab is paid.

MedTech only, since 2001
25+ yearsMedTech only, since 2001
Placements made
3,500+Placements made
We search, listed below
5 areasWe search, listed below
What we search

Inside peripheral artery disease.

A search usually sits in one of these areas, and often spans two or three.

01

Drug-coated balloons and stents

Balloons and stents coated with antiproliferative drugs to keep femoropopliteal arteries open longer after treatment. The work is built on coating science, long-term clinical data and the ability to explain that data to physicians who compare outcomes closely.

  • R&D Engineer
  • Clinical Research Manager
  • Product Manager
  • Territory Manager
02

Atherectomy and calcium modification

Orbital, rotational, directional and laser atherectomy, plus intravascular lithotripsy, used to remove or crack plaque and calcium before a balloon or stent. These are capital-light but technique-heavy devices, so training and case support drive adoption.

  • Clinical Specialist
  • Territory Manager
  • Professional Education Manager
  • Mechanical Engineer
03

Chronic total occlusion crossing

Guidewires, support catheters and re-entry devices that get across a fully blocked artery so it can be treated. Success depends on physician skill and on reps who know wire and catheter behavior in long, calcified lesions.

  • Clinical Specialist
  • R&D Engineer
  • Product Manager
  • Field Clinical Engineer
04

Below-the-knee and limb salvage

Therapies for chronic limb-threatening ischemia, the most severe form of PAD, where the goal is healing wounds and avoiding amputation. Teams work alongside wound care, podiatry and vascular surgery, and the evidence for newer below-the-knee devices is still being built.

  • Clinical Research Manager
  • Medical Science Liaison
  • Clinical Specialist
  • Marketing Manager
05

Office-based labs and outpatient care

A large share of peripheral cases has moved to office-based labs and ambulatory surgery centers, where physicians own the business and buy the devices. Selling here means understanding procedure payment, inventory, compliance and the economics of a small practice.

  • Account Manager
  • Reimbursement Manager
  • Regional Sales Manager
  • Market Access Manager
What makes it hard

Where peripheral artery disease searches go wrong.

The assumptions that cost the most time, and what tends to be true instead.

“PAD is coronary with longer wires”

Peripheral lesions are longer, more calcified and spread from the hip to the foot, and the physicians treating them come from three specialties with different training and referral habits. A coronary background helps, but candidates need to show they can support long, complex leg cases and talk to vascular surgeons as easily as cardiologists.

“An office-based lab is a small hospital”

In an office-based lab the physician is also the buyer, and reimbursement, inventory and staffing drive decisions. Reps who have only sold through hospital value analysis committees can miss what matters to a practice owner. Ask candidates how they have supported an outpatient practice's business, and how they handle the compliance rules that come with it.

“Clinical evidence is settled once a device is cleared”

Peripheral devices live under constant evidence review. The paclitaxel safety question raised in 2018 changed how physicians used drug-coated devices for years before the FDA said in 2023 that the data didn't support an excess mortality risk. Clinical, medical affairs and sales hires need to be able to explain evidence honestly when it's questioned.

“The most experienced candidate in the therapy area is the safest hire.”

Most companies default to the most experienced candidate, assuming experience equals execution. Early-stage and growth-stage MedTech needs builders, not maintainers, and those are rarely the same person.

Morgan Mills, Sr. Talent Director

Roles we fill

Individual contributors to executive leadership.

The same vertical knowledge applies across commercial, clinical, R&D and engineering, regulatory, quality and operations, whether the seat is in the field, the lab, the plant or the boardroom.

  • Clinical Specialist
  • Territory Manager
  • Account Manager
  • Regional Sales Manager
  • Professional Education Manager
  • R&D Engineer
  • Mechanical Engineer
  • Clinical Research Manager
  • Medical Science Liaison
  • Reimbursement Manager
  • Product Manager
  • Marketing Manager
How a search runs

Four steps, every time.

The same sequence whether the seat is an engineer, a clinical lead or a territory in peripheral artery disease, or the executive who builds the team around them.

  1. 01Define

    A Talent Director who knows your specialty scopes the role, what it has to deliver and the profile that actually wins in your market.

  2. 02Search & vet

    We reach passive candidates others can't, then screen for skill, culture fit and motivation before you see a single resume.

  3. 03Present

    Three to five qualified, interested candidates with our written assessment. Interviews are coordinated for you.

  4. 04Close & onboard

    Offer strategy, counter-offer prep and a 90-day check-in so great hires become long-term ones.

How we help

Two ways to work with us in peripheral artery disease.

Asked most often

What people ask us about peripheral artery disease.

What does a peripheral vascular clinical specialist do?
A peripheral vascular clinical specialist supports physicians and lab staff during endovascular leg cases, advising on device selection and setup for balloons, stents, atherectomy and crossing tools. They also train new users, cover cases across hospitals and office-based labs, and help territory managers grow device use.
What is an office-based lab?
An office-based lab (OBL) is an outpatient procedure suite, usually owned by a physician practice, where endovascular procedures are performed outside the hospital. Many peripheral artery procedures are now done in OBLs, so companies need sales and reimbursement people who understand how these practices run and are paid.
What background do PAD sales and clinical candidates usually have?
Common backgrounds include cath lab and interventional radiology technologists, cardiovascular nurses, and clinical or sales roles in coronary, structural heart or other endovascular devices. Experience calling on vascular surgeons and office-based labs is a strong advantage.
What is atherectomy?
Atherectomy is a procedure that removes or modifies plaque inside an artery using a catheter-based cutting, sanding, rotating or laser device. In the legs it's often used to prepare a calcified or hard lesion before a balloon or stent.
Why is it hard to hire in peripheral vascular?
Experienced people are spread across many device categories, and the best ones are usually employed and well paid. Searches go faster when companies are clear about which physicians and sites of care the role covers and consider strong candidates from adjacent cardiovascular and interventional fields.
Keep reading

More inside peripheral vascular and endovascular.

Ask us about
  • Why peripheral vascular companies keep hiring for relationships over ability, and what the best-athlete hiring model looks like in practiceMorgan Mills
  • How total compensation in peripheral vascular MedTech has shifted over the past three years, and what the numbers mean for how companies should build their teams nowMorgan Mills
  • Why clinical validation is now a commercial strategy decision in cardiovascular and peripheral vascular MedTech, and what happens to adoption when it is treated as an afterthoughtMorgan Mills
  • What actually drives EV/EBITDA multiples in cardiovascular and vascular MedTech, and why most founders and operators optimize for the wrong things before a raise or exitMorgan Mills
  • The vascular and cardiovascular talent marketNatalie Johnson
25+ years of pattern recognition in MedTech talent
Filling seats isn't the objective. The business outcome is.

Tell us what this hire needs to make possible.

We'll bring you the peripheral artery disease market before we bring you a shortlist.