Increased levels of C-reactive protein or homocysteine
What are the peripheral arterial disease symptoms?
Painful cramps in one or both of hips, thighs, or calf muscles after walking and relieved on rest (Claudication)
Numbness or weakness of legs
The Coldness of lower leg or foot
Progressing sores on toes, feet or legs
Discoloration of legs
Slower growth of toe nails
Erectile dysfunction in men
The slow hair growth or hair loss on feet or legs
Weak pulse or no pulse in legs or foot
Shiny skin on legs
What are the complications of peripheral arterial disease?
Critical limb ischemia: In this condition, open sores are formed initially and that does not heal on feet or legs. This can further progress into tissue death (gangrene) and sometimes requiring amputation of the affected limb.
Stroke and heart attack: Fatty deposits can also block arteries that supply blood to heart and brain. They are co-existent issues rather than caused by PAD.
Challenges to overcome amputation in peripheral arterial disease
Amputation of a small part of the limb without a structured care plan can lead to limb amputation in up to 60%.
Wounds on the limbs are caused to pressure at an abnormal location that could be painless due to diabetes-associated nerve damage. Diabetes also affects the vascular supply to the affected part leading to non-healing of ulcer or sore.
The time needed to heal wounds – 150-300 days depending on the location.
Unless the blood supply to the affected area is improved amputation leads to further and higher amputation again.
How is The Peripheral Arterial Disease Diagnosed?
Ankle-brachial index: This test compares the blood pressure in the ankle and in the arm.
Doppler and Ultrasound imaging: This test measures the blood flow in the arteries to identify the presence of a blockage.
CT scan and MRA (Magnetic Resonance Angiography): This test images the arteries in abdomen, pelvis, and legs identifying the exact location of the block
Angiography: The contract agent is inserted into the artery through the catheter and X-rays are taken to identify the blockage and cause reduced blood flow.
How is Peripheral Arterial Disease Treated?
Treatment of Peripheral Arterial Disease (Peripheral Vascular Disease).
Excellent control of diabetes, hypertension, high cholesterol levels that are responsible for PAD.
Endovascular treatment: Often in the groin, leg or arm area. The Doctor will make an incision into the artery in order to reach the area of blockage. Then procedures like angioplasty-stent, laser atherectomy, and directional Atherectomy would be performed.