Treatments  

  • Stop smoking

  • Exercise Regularly

  • Lose Weight If ou are overweight

  • You should eat a healthy diet

  • Take care of your feet

The self-help measures above are the most important part of treatment. In addition, medication is often advised. Surgery is only needed in a small number of cases.

Medicines

  • Antiplatelet medicines such as low-dose aspirin may be advised
  • A statin medicine is usually advised to lower your cholesterol level. This helps to prevent a build-up of fatty patches (atheroma).
  • If you have diabetes then good control of your blood sugar (glucose) level will help to prevent PAD from worsening.
  • If you have high blood pressure (hypertension) then you will normally be advised to take medication to lower it.
  • Other medicines are sometimes used to try to open up the arteries – for example, cilostazol and naftidrofuryl. One may be given and may help.

However, MEDICINES , they do not work in all cases. Therefore, there is no point in continuing with
these medicines if you do not notice an improvement in symptoms within a few weeks.

There are three main types of operation for PAD:

  • Endovascular procedures/Angioplasty+ stenting – in this procedure, a tiny balloon is inserted into the artery and blown up at the section that is narrowed. This widens the affected segment of artery. This is only suitable if a short segment of artery is narrowed. they are procedures without any cut ,sutureless
    .they are done in daycare basis
  • Bypass surgery – in this procedure, a flexible pipe (graft) is connected to the artery above and below a narrowed section. The blood is then diverted around the narrowed section.
  • In very few cases ,Surgical removal (amputation) of a foot or lower leg – this is needed in an extremely small number of cases. It is only offered when all other options have been considered. It is needed when severe PAD develops and a foot has tissue death (becomes gangrenous) due to a very poor blood supply.

The Procedural- Angioplasty

Step 1

The balloon catheter is passed through the guiding catheter to the area near the narrowing. A guide wire inside the balloon catheter is then advanced through the artery until the tip is beyond the narrowing.

Step 3

Next, the angioplasty catheter is moved over the guide wire until the balloon is within the narrowed segment.

Step 2

The balloon is inflated, compressing the plaque against the artery wall.

Step 4

Once the plaque has been compressed and the artery has been opend sufficiently, the balloon catheter will be deflated and removed.

The Procedural- stent implantation 

Step 1

The stent is introduced into the blood vessel on a balloon catheter and advanced to the blocked area of the artery.

Step 2

The balloon is inflated and causes the stent to expand until it fits the inner wall of the vessel, confirming to the contours as needed.

Step 3

The balloon is then deflated and withdrawn. The stent stays in place permanently holding the vessel open and improving the flow of blood.

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