Peripheral vascular disease (PVD) is a condition effecting the lower limbs in mostly men and women older than 50 years.
The risk factors for the disease are
Peripheral artery disease is often caused by atherosclerosis. In atherosclerosis, fatty deposits (plaques) build up in the artery walls and reduce blood flow. When it occurs in the arteries supplying blood to your limbs, it causes peripheral artery disease
Peripheral artery disease symptoms include
Peripheral vascular disease in a clinically symptomatic patient as well as in asymptomatic patient is diagnosed by various diagnostic methods.
ABPI measurement and doppler scan are the most commonly used modalities to diagnose peripheral vascular disease. CTA/ MRA is used when revascularized is planned
Treatment for peripheral artery disease has two methods:
In cases where the initial disease severity is significant and limb threatening, and in cases where the symptoms are not responding to medication, angioplasty or surgery may be necessary.
Interventional radiologists pioneered angioplasty and stenting, which was first performed to treat peripheral arterial disease. Using imaging for guidance, the interventional radiologist threads a catheter through the femoral artery in the groin, to the blocked artery in the legs. Then a balloon is inflated to open the blood vessel where it is narrowed or blocked. In some cases this is then held open with a stent, a tiny metal cylinder. This is a minimally invasive treatment that does not require surgery, just a nick in the skin the size of a pencil tip. Balloon angioplasty and stenting have generally replaced invasive surgery as the first-line treatment for peripheral vascular disease. Early randomized trials have shown interventional therapy to be as effective as surgery for many arterial occlusions, and in the past years, a very large clinical experience in centers throughout the world has shown that stenting and angioplasty are preferred as a first-line treatment for more and more processes throughout the body.
DR.SURESH GIRAGANI CONSULTANT INTERVENTIONAL RADIOLOGIST at Apollo Hospital, has more than Seventeen years of clinical experience in vascular interventions with a special interest in neurovascular and peripheral vascular disease interventional procedures.
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