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Peripheral Arterial Occlusive Disease Treatment & Management

Diagnosis & Treatment of peripheral vascular disease which may include:

Past medical history, physical examination, and past family history

  • Pulse check -The physician would check your pulse, using a stethoscope, to listen for any kind of signs to reduce the blood flow through a blood vessel.
  • Ankle/brachial index(ABI)test - which helps to compare the blood pressure readings of the arms and the legs to check differences
  • Exercise test -This is usually performed on a treadmill to check the blood pressure, if there is a drop in blood pressure within the affected part of the body
  • Scans -To locate the narrowed sections of the blood vessels/such as an ultrasound or magnetic resonance imaging(MRI)
  • Angiography -as an MRI can detect the actual outcome,this test is less considered, the angiography the injection of a contrast dye into the blood vessel which shows up on the x-ray examination

Treatment of peripheral vascular disease

Treatment options may include:
  • Medications - Which can help treat atherosclerosis, such as statins to lower the LDL, cholesterol, and also anti-hypertensive drugs to lower the blood pressure.
  • Drugs to treat blood clots - Medications which include various((including anticoagulants and anti-platelet drugs) to prevent blood clots from developing and medication(which include thrombolytics) which can dissolve existing blood clots.
  • Angioplasty - This procedure is usually performed under sedation of local anaesthesia, which involves threadin a thin tube (known as the catheter) into the narrow blood vessel through a small incision which is usually in the leg, once the reaches the narrow blocked site, the small balloon on its tip is inflated, which helps widen the blood vessel and which improves the blood flow. The Angioplasty is usually consider a temporary measure.
  • Surgical insertion of a stent - A stent is a metal 'sleeve' which is implanted inside the narrow blood vessel during the procedure of the angioplasty to prop it open. Once the stent is impregnated which medications that will help to prevent the scare from narrowing the treated area of the blood vessel
  • Atherectomy - This procedure involves cutting away of the fatty obstruction with a small scalpel-like instrument.
  • Bypass surgery - This surgery is done in a severe cases which do not respond to other treatments or in cases which involves larger sections of the diseased blood vessel , a healthy vein is then taken from somewhere else in the body & then surgically grafted to re-route the blood flow around the blockage of the affected blood vessel the surgeon then , in some cases use a piece of synthetic tubing to detour the blood flow.

Self-help treatment of peripheral vascular disease

The patient needs to make some serious life changes, which are important to be a part of the treatment. Take advise from your doctor.

If you suffer from diabetes, or high blood pressure, it is important to take advise from your doctor to manage & take self control

  • Quit smoking.
  • Exercise regularly.
  • Maintain a low-fat, high-fibre diet.
  • Maintain a healthy weight for your height and build.
  • Dress the wound properly, and take care , and also seek medical attention
  • Take all medications as usually prescribed by your doctor
  • Visit your doctor for regular check-ups
  • If your experience pain, redness, warmth,swelling , these symptoms could be signs of infection, ask your doctor to treat you with antibiotics

When to seek urgent medical attention for peripheral vascular disease

If you develop unusually symptoms like, chest pain, loss of consciousness, sudden confusion or a severe headache, these symptoms could be that the patient is coming in for a stroke or a heart attack.

Things to remember

That peripheral vascular disease, is when the blood flow is reduced to a part of the body, with less circulation, other than the brain or heart, due to the reason of a narrowed blocked blood vessel.

The risks that include , diabetes,obesity,smoking and an also a sedentary lifestyle.

Treatment, would also include procedures, which would widen the artery, like medications to reduce the build up of fatty deposits within the blood vessels, and also lifestyle changes such as weight loss and regular exercise.