Arterial patency procedure - Arterial occlusion treatment - Dr. Hossam El Mahdy

The Procedure of Arterial Patency of the Leg

Foot arterial occlusion occurs when blood flow to the legs is reduced, causing pain in the foot or ulcers that do not heal. Atherosclerosis or diabetic foot is one of the most common diseases that affect diabetics, and patients with hypertension, and when the leg is infected, blood does not reach the limbs loaded with oxygen as a result of narrowing of the arteries, so the symptoms begin to appear such as pain in the leg or foot, and in advanced cases, ulcers appear, and cracks in the foot, especially in cases of diabetics due to the lack of wound healing, and may end up causing gangrene, so the vascular surgeon goes for performing the procedure of arterial patency of the leg, and in this article, we learn more about the steps, and the cost of the leg arterial patency procedure, continue with us.

Symptoms of leg arteries occlusion:
- Feeling of pain in the leg and toes when resting, especially at night when relaxing on bed.
- Feeling of coldness in the feet.
- Changes in skin color.
- Recurring infections.
- Recurring ulcers in the feet or fingers.

There are several factors that increase the risk of peripheral arterial occlusion, including:
- Smoking.
- Having diabetes.
- Age, the older a person becomes, the more likely the patient is to develop peripheral arterial occlusion.
- Hypertension.
- Hypercholesterolemia.
- Insulin resistance and obesity.
- Having arthritis, lupus, or infection.

How is peripheral arterial occlusion diagnosed?
There are a number of tests or indicators that are considered evidence of peripheral arterial occlusion, including:
- Ankle-Brachial Index: The blood pressure in the lower legs is compared with the blood pressure in the arms, as those who suffer from peripheral arterial disease have lower blood pressure in the affected limb.
- Ultrasound of the arteries.
- X-ray of the arteries.
- CT scan or MRI scan.

There are several ways to help prevent peripheral arterial disease:
- Quit Smoking.
- Eating healthy foods.
- Doing regular exercise.
- Maintaining a healthy weight.
- Controlling other risk factors such as high blood glucose level, hypertension, and hypercholesterolemia.
These methods may not work for some patients, and the doctor goes for a leg arterial patency procedure to avoid any complications.

The arterial patency procedure of the leg step by step:
During The Arterial Patency Procedure of the Leg, a medical balloon is used to expand the blockage of the arteries, as the balloon presses on the inner wall of the artery to expand it, and improve blood flow.

Before the arterial patency procedure:
Usually the patient is given a sedative to help him to relax, and medication to avoid blood clots, the patient lies down and the surgeon injects some anesthetic medication into the area that will be treated so that the patient does not feel pain, this is called local anesthesia, the surgeon can see the artery through imaging with ultrasound, a dye is injected into the body to show blood flow through the arteries and find the occlusion. The surgeon then inserts a thin tube called a catheter through the artery to the area of ​​the occlusion. After that, the surgeon passes a small flexible wire through the catheter to the area of the occlusion. The surgeon pushes the catheter in with a very small balloon at its end. The balloon is then filled. This opens the blocked artery and restores blood flow again. The stent is inserted at the same time as the balloon catheter. The stent is held in place to help in keeping the artery open, the balloon is then removed with all wires.

Coronary artery patency cost:
There are a number of factors on which the cost of arterial patency depends, including:
- The cost of the hospital in which the procedure is performed.
- The doctor's skills and experience, as it is a key factor on which the price of the procedure depends.
- Medical supplies used in the operation.
- The type of anesthesia.
- Is the operation done in one foot or both.

After the arterial patency procedure:
There are a number of procedures that must be followed after undergoing the arterial patency procedure, including:
- Being careful not to move for 12 hours after the procedure.
- Daily activities can be carried out normally the next day.
- Taking anticoagulant tablets such as Aspirin or Plavix.
- Quit smoking completely.
- It is preferable to follow up regularly with the doctor every 6 months.