Peripheral vascular diseases (PDH) and its treatment

Peripheral vascular disease (PDH) is a degeneration that develops in the arterial system in the body due to hardening of the arteries (atherosclerosis). During this degeneration, the internal space of the vessel narrows first with the accumulation of lime and fat layers on the vessel walls, and then with the progression of the disease, complete obstruction occurs. This disease, which can develop in any part of the body, causes life-threatening problems when seen in the carotid arteries leading to the heart and brain. Peripheral vascular disease (PHD) is most common in the leg veins, except for these regions.

periferik damar hastaliklari

Progressively developing lime, oil-filled plaque formations in the arteries leading to the legs and various complaints that occur due to the decrease in flow in these regions. This peripheral vascular disease needs attention, as it will both reduce the comfort of life of the person and cause serious consequences in the future.

1542184974 kalp ve damar cerrahisi uzmani doc dr cem ariturk Acıbadem Fulya Hospital Cardiovascular Surgery Specialist , who underlined that leg vein occlusion, which is a disease that usually occurs in advanced ages (over 50 years of age), is more common in men than women. Dr. Cem Arıtürk , “Familial and genetic factors play an important role. It is one of the most important risk factors to be seen in mothers, fathers and siblings. Apart from this, if a person has developed vascular occlusion in any part of the body, it means that the possibility of developing vascular occlusion in the legs has increased. However, living habits such as smoking, inactivity, irregular diet and chronic diseases such as hypertension, hyperlipidemia, diabetes, kidney failure are among the factors that increase the incidence of vascular occlusion in the legs.

Vascular occlusion can cause dangerous consequences in every part of the body

Stating that complaints can occur at different levels depending on the degree of narrowing in the leg veins and the location of the obstructions, Dr. Cem Arıtürk lists the frequently encountered complaints as follows:

Pain due to peripheral vascular diseases

Pain begins with walking and passes with rest. Failure to send adequately oxygenated blood to the narrowed area They are cramp-like pains in the muscles of the relevant region due to nutritional defect caused by the disease. While the pain is felt in the whole leg in the problems of the veins in the upper part of the leg, in the occlusion of a vein in the knee region, the problem is in the region below the knee. The more severe the obstruction and stenosis, the less effort the pain occurs and the later it goes away. In the advanced stages of the disease, rest pain can be seen without effort. Paleness and coldness in the legs are the other most common findings. However, hair reduction and skin changes are among the complaints that may be encountered in the future in these patients.

Wound due to peripheral vascular diseases

Depending on the advanced deterioration of the nutrition of the legs and feet, wounds may open spontaneously or a wound opened due to a reason such as trauma or incision cannot heal. .

Gangrene due to advanced peripheral vascular diseases

It is the loss of vitality of the limb with malnutrition. Amputation (cutting) of the gangrenous part is often inevitable.

Assoc. Dr. Cem Arıtürk stated that if some findings are obtained after the examination, it is necessary to resort to imaging methods and continued his words as follows:

“Although Doppler ultrasonography for the arteries does not give precise information about the status of the disease, the status of the disease is related to the affected veins. Allows approximate results to be obtained. It is necessary to use angiographic diagnostic methods to make a definitive diagnosis and to guide the treatment. In magnetic resonance (MR) or computed tomography (CT) angiography, the location and degree of stenosis can be determined objectively and 3D anatomical features can be determined. With conventional angiography, it is possible to both diagnose and perform balloon, stent or other procedures in cases where treatment is required.

What are the treatment options in peripheral vascular diseases?

Stating that there are various treatment methods in leg vein occlusions, Dr. Cem Arıtürk listed the treatment methods as follows:

  • Medication
  • Medical follow-up with walking
  • Angiographic treatment methods
  • Surgical intervention

Arıtürk continued his words as follows:

“Because the effects are different according to the stages of the disease, the treatment also differs according to the individual. Therefore, the treatment of people with leg vein occlusion should be planned according to the patient’s complaints, the vitality of the limb, and the social expectations of the person.

In the presence of resting pain, gangrene or non-healing wound in the foot, an interventional treatment that will increase blood supply is absolutely necessary, since there is a danger of loss of limb and perhaps life. It was decided by considering factors such as the patient’s age, social conditions, and how much his life was affected by the disease. should be broken.

Surgical treatment can be recommended for the treatment of pain that comes with 1 km walking in a 50-year-old active, working patient, while an 80-year-old patient who goes out of the house 1-2 times a week and has pain with 250 meters of walking can be followed up with medical treatment. it is possible.”

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