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Vascular Surgery

PERIPHERAL

Vascular Surgery

Best Hospital for Peripheral Vascular Disease in Kphb, Kukatpally, Hyderabad

My health hospitals has best vascular surgeons with 10 + years of experience in the field of in treatment of various vascular problems and their treatment with best and advanced technology (Lasers ) with best results through safe and painless surgery with less hospital stay duration and prevent future problems and recurrence

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Dr. Puneeth Joopalli
Dr. Puneeth Joopalli
MBBS, DNB
(Fellowship in Minimal Access Surgery)
Vascular and Endovascular Surgeon
Timings : 10 am - 6 pm
4.8 :
based on 920 reviews
---- Overview ----

PERIPHERAL ARTERIAL DISEASE

Peripheral arterial disease is a common vascular condition in which narrowed arteries reduce blood flow to the arms or legs. This may cause severe leg pain when walking (claudication) and other symptoms.

Peripheral artery disease is diagnosed primarly by clinical examination by treating vascular surgeon and additional tests to know the severity and extent of Ischemia (decreased blood flow).

Peripheral artery disease treatment includes surgical treatment of the affected limb in most of the cases and avoiding causative factors .

What are the Causes of Peripheral Arterial?

Atherosclerosis - Most common cause of peripheral artery disease where fatty, cholesterol-containing deposits (plaques) on artery walls, Which reduces blood flow through the arteries.

Other causes of peripheral artery disease include-

  • Inflammation of the blood vessels (Arteritis)
  • Injury to either arms or legs
  • Radiation exposure
Risk factors
  • High blood pressure
  • High cholesterol
  • History of smoking
  • Diabetes –Uncontrolled
  • Increasing age, especially after 65
  • Obesity
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What are the Symptoms of peripheral arterial disease ?

  • Pain on walking for a distance (Claudication pain)
  • Cold feet on affected site when compared with the other side
  • Numbness or weakness of legs
  • Weak pulses the feet
  • Walking or climbing stairs may cause painful cramping in hips, thighs or calf muscles
  • Shiny skin on the legs
  • Skin discoloration on the legs
  • Non healing Ulcers on the toes, feet or legs
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How do we Diagnose Peripheral artery disease?

Diagnosis

To diagnose peripheral artery disease, your vascular surgeon will examine the affected limb and decide on the blood tests required -

  • Angiography
  • Blood tests
  • Ultrasound of the legs or feet.
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What are the treatment options of peripheral artery disease?

Treatment
  • Lifestyle changes
  • Medical management
  • Surgery
Lifestyle changes –
  • Avoid smoking and tobacco
  • Control blood sugar
  • Eat fat free foods
  • Get regular exercise
  • Maintain a healthy weight
  • Blood pressure control and
  • Maintain normal Cholesterol levels
Medications-

Medications will be decided by treating surgeons for optimization of the condition and preventing complications -

  • Anti Cholesterol drugs- Statins
  • Blood pressure medications
  • Diabetic medications - Oral hypoglycemic or insulin
  • Medications to prevent blood clots- Anti platelets and anti coagulants
  • Pain killers for severe pain
Surgeries or other procedures

Angioplasty and stent placement - This procedure is done to dislodge clogged arteries. The surgeon inserts a thin catheter to the narrowed part of the artery. A tiny balloon is then inflated to widen the blocked artery and restore blood flow. A small stent may be placed in the artery to keep the artery open.

Bypass surgery - The surgeon creates an alternate path around the blocked artery using blood vessel from another part of the body or a synthetic graft.

Thrombolytic therapy – Thrombolytic drugs are given to dissolve the clot and improve blood flow.

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---- FAQs ----

PERIPHERAL VASCULAR DISEASE

  • I: Asymptomatic (without symptoms).
  • IIa: Mild claudication (leg pain during exercise).
  • IIb: Moderate to severe claudication.
  • III: Ischemic rest pain (pain in your legs when you’re at rest).
  • IV: Ulcers or gangrene.

The first symptom of PAD is usually pain, cramping or discomfort in your legs or buttocks (intermittent claudication ). This happens when you’re active and goes away when you’re resting.

Without treatment, people with PAD may need an amputation — the removal of part or all of your foot or leg (rarely your arm), especially in people who also have diabetes.

Yes. Some studies have shown that you can reverse peripheral vascular disease symptoms with exercise and control of cholesterol and blood pressure. With early diagnosis, lifestyle changes and treatment, you can stop PAD from getting worse.

It’s important to take good care of your feet to prevent non healing sores. Foot care for people who have PAD includes:

  • Wearing comfortable, appropriately fitting shoes.
  • Inspecting your legs and feet daily for blisters, cuts, cracks, scratches or sores. Also check for redness, increased warmth, ingrown toenails, corns and calluses.
  • Not waiting to treat a minor foot or skin problem.
  • Keeping your feet clean and well moisturized. (Don’t moisturize an area with an open sore.)
  • Cutting your toenails after bathing, when they’re soft. Cut them straight across and smooth them with a nail file.

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