Peripheral artery disease

PERIPHERAL ARTERY DISEASES is the formation of atherosclerotic plaques in the lumen of peripheral arteries (abdominal aorta, pelvic arteries and lower extremities), accompanied by a violation of their main function – the transfer of blood and the delivery of oxygen and nutrients to the tissues.

What are the symptoms of peripheral vascular disease?
The main complaints of peripheral arterial disease are pain in the legs when walking or during exercise. Because of the narrowing of the arteries, less blood is drawn to the muscles, which leads to pain or cramps. This is called intermittent claudication. Once you stop and there is adequate blood flow to the muscles, the pain will gradually subside. This can happen several times during your trip to the store, but this does not mean that you need surgery. If you are tormented by constant pain (pain of rest), then the situation is more serious. This indicates that blood flow to your extremities is significantly depleted and you need urgent help to prevent serious complications from developing.

The main symptoms of chronic arterial insufficiency are:
feeling of chilliness, numbness, “tingling”, leg cramps;
feeling tired, pain in the legs or hips when walking, forcing the patient to stop and rest (intermittent claudication);
With the progression of the disease, the pains are permanent, depriving them of sleep (pain at rest). Trophic ulcers and necrosis can form.
What to do?
In the presence of such signs, you should immediately contact a vascular surgeon, since the development of the disease often leads to gangrene of the limb and the need for amputation. You may need to perform additional research methods, such as Duplex scanning of the vessels of the lower extremities, ECG, ultrasound of the heart (Echocardiography), and others. The doctor may prescribe additional tests, for example, the KI21 Atherosclerosis complex or the genetic profile of GP3 Atherosclerosis – 11 mute in 9 genes

Treatment of peripheral vascular disease
Treatment is aimed at relieving pain, lameness and other symptoms of the disease caused by narrowing or blockage of the arteries of the lower extremities, to prevent the development of irreversible ischemia (gangrene).

The main treatment options are:
Medical treatment includes the use of drugs that reduce the risk of blood clots in the lumen of blood vessels and increase the blood supply to tissues. With the ineffectiveness of conservative treatment and the progression of the disease, surgical methods of surgical treatment are used – endovascular (angioplasty, stenting) or open surgical interventions (endarterectomy with plastic, bypass grafting, prosthetics).

ANEURISM (expansion of the vessel lumen) is an extremely dangerous condition, due to the inevitable threat of rupture of the aneurysm wall with massive bleeding. Only a timely performed operation helps to avoid tragedy.

Signs of an abdominal aortic aneurysm: In most cases, the aneurysm does not manifest itself in any way, so the patient may not be aware of the presence of an abdominal aortic aneurysm for a long time. In some cases, the symptoms of an abdominal aortic aneurysm are: a throbbing sensation or a dull aching pain in the abdomen. If a dissection or rupture of the aneurysm develops, sudden abdominal and lumbar pain may develop. Blood clots from the aneurysm cavity can migrate with the bloodstream into the vessels of the lower extremities, causing an acute lack of blood circulation in them, which is manifested by sudden paleness, coldness of the skin and acute pain in the legs. Risk factors for the development of aneurysms include: male gender, age over 60 years, smoking, heredity (the presence of a close relative who had an aortic aneurysm). Treatment: open surgery – removal of the aneurysm and replacement of the affected area of ​​the aorta with a synthetic prosthesis. Currently, this technique is the “gold” standard in the treatment of abdominal aortic aneurysms.