associate Dr. Fatih Gümüş gave information about the angiographic interventional treatment method in peripheral vascular disease.
Vascular disorders disrupt the nutrition of tissues, organs and limbs
Peripheral (peripheral) artery is the name given to the arteries that supply all other tissues and organs except the heart and brain. Disorders such as obstruction and narrowing that can occur in these vessels can cause nutritional disorders in major tissues, organs, hands and legs. This disease state is called peripheral arterial disease. Atherosclerosis is more common in patient groups with high sugar and cholesterol levels, heavy smoking, long-term hypertension and familial atherosclerosis.
Sedentary lifestyle and tobacco use are risk factors for atherosclerosis.
Although the causes of peripheral artery disease are genetic and acquired, it can be caused by many factors. Familial atherosclerosis, smoking, Burger’s disease, high lipid and cholesterol levels, lack of exercise, obesity, uncontrolled diabetes, gout disease, chronic renal failure are the main reasons that can predispose to this disease.
Symptoms may differ depending on the blockage area.
Peripheral vascular disease may have no symptoms in some patients. However, it can also present with different symptoms depending on the organs and tissues supplied by the artery it contains. Vascular occlusion in the legs can cause symptoms such as shortening of walking distance, muscle aches, cold toes, numbness; It can manifest with sudden paralysis in carotid artery occlusions that contribute to the nutrition of the brain.
Angiographic procedures can quickly open clogged vessels.
For the diagnosis of peripheral arterial disease, a cardiovascular surgeon should be consulted first. After a comprehensive physical examination by a specialist, diagnosis can be made through pulse monitoring, Doppler ultrasound, MRI, computed tomographic angiography, and diagnostic angiography. In addition to proper drug regulation in the treatment of this disease; It is extremely important to open occluded vessels with angiographic procedures and to perform stent/balloon dilatation procedures appropriate for occluded areas. When these procedures are performed in experienced centers in the initial period, it ensures serious recovery and rapid recovery in the region that has been suffering from malnutrition. In patient groups where angiographic procedures cannot be performed, open and bypass surgery and thromboendarterectomy procedures with artificial or natural vessels can be life-saving.
Interventional angiographic procedures provide patient benefits
Interventional treatments applied to vascular occlusions are clustered in a wide range from angiographic procedures to open surgical procedures. The advantages of these processes can be summarized as follows:
• Obstructed vessels can be opened in a short time by performing stent or balloon angioplasty.
• It can be treated invasively without open surgery and without the need for an incision.
• Since general anesthesia is not required, there are no anesthesia risks.
• Ensures similar success in operations when performed with an experienced team and appropriate equipment.
• Since there is no incision in the body, there is no problem with wound healing and the risk of infection is reduced.
• The hospital stay is shortened and the patient returns to his daily life in a shorter time.
• Pain level and blood loss are less
• Restoration of vascular flow with open surgery is the most important part of treatment in patient groups for whom angiography is not suitable.
You can reduce the risk of atherosclerosis
To prevent peripheral arterial disease, it is necessary to stay away from risk factors first. The risk of peripheral arterial disease can be minimized by not smoking, reducing a high-fat/sugar diet, getting regular medical checkups, and taking supportive medications when needed.