What you need to know about Peripheral Artery Disease.
What is peripheral artery disease, what are its symptoms, what you need to know about treatment methods We have prepared it for you.
How common is peripheral artery disease and what are the risk factors?
Peripheral artery disease (PAD)50 It is seen in individuals over the age of 13%. The most important risk factors are smoking, diabetes, hypertension, hyperlipidemia.
What are the symptoms of peripheral artery disease and how is it diagnosed?
The diagnosis is made by ankle / arm pressure. It is important to measure (AKI)index. AKI below 0.9 is taken as a criterion in the diagnosis of PAH. Approximately one quarter of the patients diagnosed in this way complain of pain and restlessness in the legs (intermittent claudication: IK), which increases with exercise but improves with rest. There are no complaints in the patient's wound.
Intermittent claudication, which is the classic pain of peripheral artery disease, is most common in the calf area of the leg, and can occur in any region of the leg from the hip to the sole of the foot, depending on the level of vascular effusion. The symptoms of this leg artery disease can be confused with the symptoms of vein diseases, nerve compression, cysts behind the knee and leg joint diseases. In addition, after a detailed history and physical examination, AKI measurement and, if necessary, arterial angiography can be performed after arterial Doppler ultrasonography in diagnosis.
Treatment of peripheral artery disease
In treatment, the priority is risk. factors should be eliminated. In other words, the patient's cholesterol, sugar and high blood pressure, if any, should be reduced to appropriate levels with treatment, and if he is a smoker, he should be encouraged to quit. At the same time, all patients with leg artery problems should be included in a controlled exercise program accompanied by an observer. If there is no decrease in complaints in patients whose risk factors are reduced or eliminated, drug therapy and exercise programs are applied, arterial angiography is performed conventionally, with tomography or MRI. According to the results, endovascular and The most suitable bypass surgery method is selected. Today, with the developing technology, we have the opportunity to treat most lesions with non-surgical endovascular methods.
What is the Peripheral Angiography procedure?
A peripheral angiography is applied to your pelvis, legs, knees, feet. It is a test performed to identify all narrowed or blocked blood vessels in the arteries entering the wrists and, less frequently, the arms.
How is Peripheral Angiography performed?
Usually in the groin. Although it is used for arterial angiography in the region, the artery at the wrist level can also be used for this procedure. After entering the selected artery through a needle, the target area to be imaged is reached with a guide advanced through this needle, then an iodine-based contrast agent is administered through this guide, and as soon as that contrast material reaches the vein, the image of the vein is created through x-rays obtained from the angiography device.
Read: 0
