best vascular surgeon in Lucknow

Peripheral Artery Disease

WHAT IS PERIPHERAL ARTERIAL DISEASE?

Peripheral vascular disease (PVD) or peripheral arterial disease (PAD) is the blockage of arteries of the lower limbs due to accumulation of cholesterol, calcium and plaques. This leads to reduced blood and oxygen supply to the legs and may eventually lead to limb amputations as well as suffering due to rest pain and gangrene.
Aortic aneurysm

WHAT ARE THE RISK FACTORS OF PAD?

Dr. Ashutosh Kumar Pandey

Diabetes

Smoking

Hypertension

High cholesterol levels

Old age

Thrombophilia (hypercoagulable state)

Claudication

Pain in calf or thigh upon walking is the first symptom of PAD.

It occurs at a similar distance of the leg and is relieved on rest.

It may be misunderstood as joint pain or muscle pain.

Rest pain & ulcers

If this disease progresses, patients develop ulcers in foot with severe pain even at rest.

They may be unable to sleep due to this pain.

Gangrene

Eventually, gangrene or blackening of skin or toes develops and patients may require amputation.

WHICH DOCTOR SHOULD BE CONSULTED?

Among the different specialists offering treatment for PAD, there are Vascular & Endovascular Specialists who can provide the best possible diagnosis and treatment of these complex diseases.
Vascular specialists would have undergone specialized training in peripheral vascular diseases (not heart disease) and are experts in Dopplers, medical treatment, interventions like angioplasty as well as surgery for PAD. They can help you choose the best treatment option suitable for you!

WHAT ARE THE INVESTIGATIONS AND DIAGNOSIS METHODS FOR PAD?

Color Doppler

CT angiography

Angiography

(preferably performed by vascular specialists themselves]

WHAT ARE THE TREATMENT OPTIONS FOR PAD?

Medicines

Not all patients require major surgery if diagnosed in time. Certain medicines are useful along with control of risk factors like smoking, diabetes, hypertension and high cholesterol.

Walking exercises

Useful for improving claudication and thus walking distance. But this may not be suitable for patients who have ulcer or gangrene.

Angioplasty

Minimally invasive techniques through needle punctures and utilizing endovascular balloons or stents have revolutionized the treatment of PAD. There have been substantial developments in the skills and resources utilized for endovascular procedures over the past decade. Continuously upgrading expertise has led to the development of drug coated balloons, atherectomy devices and vascular mimetic stents, which promise to deliver better results than previous devices.

Bypass

Often, long segment blockages or multilevel blockages are better dealt with by surgical bypass. Surgical bypass can be performed by using patient's own vein or a synthetic graft and can be performed from the abdomen to the foot depending on the level and extent of arterial blockage.

SUMMARY

Do not neglect leg pain on walking. It is not always aging! Your vascular specialist can guide you and help provide a balanced option between the different procedures available on the basis of multiple factors including age, co-existing problems, level of blockages and availability or expenses of devices.
Dr. Ashutosh Kumar Pandey

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