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Peripheral Artery Disease (PAD) is a condition characterised by the narrowing of arteries that supply blood from the heart to various parts of the body. The most common form of PAD affects the lower extremities, reducing blood flow to the legs and feet, while a less common form impacts the upper extremities, affecting the arms, hands, and fingers. PAD is primarily caused by atherosclerosis, where plaque buildup constricts or blocks the arteries, most frequently in the legs.
To accurately assess your condition, our Radiology Department in Bhubaneswar, Odisha, employs advanced diagnostic tools such as vascular ultrasonography, Doppler ultrasound, catheter angiography, CT angiography (CTA), and MR angiography (MRA). Based on the assessment, your healthcare provider may recommend specific lifestyle changes to manage PAD. In more severe cases, interventional treatments like Atherectomy, Catheter-directed Thrombolysis, or Angioplasty, as well as Bypass surgery, may be utilised to restore and improve blood flow. Our dedicated team is committed to providing comprehensive, high-quality care tailored to your individual needs, ensuring the best possible outcomes for your health and well-being.
The predominant reason behind PAD is atherosclerosis. Atherosclerosis is a progressive obstruction of the arteries caused by the accumulation of fat. Peripheral artery disease is characterised by blood clots in the arteries, limb injuries, and abnormal muscle and ligament architecture.
The following are risk factors that lead to PAD:
The most common sign of PAD is claudication, which is a scientific word for leg pain that worsens with movement or activity and goes away when you relax. The lack of oxygen reaching your leg muscles is the cause of the pain.
Walking difficulties are only one aspect of the dangers linked with PAD. The chance of developing a non-healing foot or leg sore is higher in people with peripheral vascular disease. Under extreme PAD conditions, these lesions may become gangrenous, requiring an amputation of your foot or limb.
Many symptoms can indicate peripheral artery disease (PAD), which usually affects the lower limbs:
Leg pain, cramps, or exhaustion, particularly when exercising (claudication)
Leg weakness or numbness
The legs or feet become cold or discoloured
Reduced or minimal hair development on the lower limbs
Leg or foot sores or lesions that do not heal
Leg pulse that is weak or nonexistent
Impotence, particularly in males who have underlying peripheral artery disease
Your healthcare provider performs a physical examination to examine the signs indicating PAD. They may listen for a whooshing sound in your leg arteries and evaluate the blood flow in your feet and legs.
Angiogram, in which your doctor injects a dye into your circulation before performing an X-ray to look for clogged arteries
The ankle-brachial index is an assessment of the blood pressure in your upper and lower limbs
Blood tests are performed to assess risk factors such as high cholesterol and diabetes
Ultrasonography is used to detect clogged arteries and assess blood flow
The most popular test for peripheral artery disease (PAD) is the ankle-brachial index (ABI), a painless examination that compares the blood pressure in your arms and feet using a specialised stethoscope. The results of your ABI, along with your symptoms and PAD risk factors, can help the healthcare provider determine whether or not you require any more testing. When an individual's ABI suggests that they could have PAD, further imaging modalities, such as computed tomography (CT) angiography, magnetic resonance angiography (MRA), and duplex ultrasonography, might be performed to confirm the diagnosis. Your doctor can diagnose PAD in you with the use of the quick, painless ABI test. A standard blood pressure cuff and a specialised ultrasonic stethoscope known as a Doppler are used to measure the blood pressure in your arms and ankles.
Radiological indications for peripheral artery disease (PAD) include calcification, occlusion, and stenosis of the arteries. Several imaging modalities can help with diagnosis and treatment planning, including angiography, doppler ultrasonography, arterial duplex ultrasonography, magnetic resonance angiography (MRA), and computed tomography angiography (CTA). These modalities can show vascular calcifications, altered blood flow patterns, collateral vessel formation, and narrowed or blocked arteries.
Most interventional radiologists treat peripheral artery disease (PAD) by performing minimally invasive procedures to repair damaged arteries and restore blood flow. They employ procedures including Atherectomy, Stent Implantation, and Angioplasty to widen or unblock blocked blood vessels and restore blood flow to the feet and legs. These treatments can help with pain relief and wound healing and prevent PAD-related complications.
Peripheral artery disease can be treated by employing the following:
Lifestyle Adjustments: Giving up smoking, exercising frequently, and maintaining a balanced diet to minimise risk factors.
Medication: Statins to decrease cholesterol, aspirin, antiplatelet medicines, and medications to regulate diabetes and blood pressure.
Percutaneous Interventions: Stenting or Angioplasty to clear clogged arteries.
Surgical Bypass: This procedure uses a graft to reroute blood flow around clogged arteries.
Exercise Therapy: Programmes of supervised exercise designed to lessen symptoms and increase walking distance.
Revascularisation: Through endovascular or surgical techniques, blood flow is restored.
Amputation: When saving a limb is not an option due to severe conditions, an amputation may be required.
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