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Treatments
[/vc_column_text][vc_column_text]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.[/vc_column_text][vc_separator border_width=”3″][vc_column_text]
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.
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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.
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The Procedural- Angioplasty
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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 opened sufficiently, the balloon catheter will be deflated and removed.
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.
The Procedural- stent implantation
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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.