The blockage of the leg arteries occurs when blood flow to the legs decreases, causing pain in the foot when walking or at rest in advanced cases. Peripheral artery disease (PAD) or diabetic foot disease are among the most common conditions affecting diabetic patients. And patients with high blood pressure. Resulting in a lack of oxygenated blood reaching the extremities due to narrowed arteries. This leads to the patient experiencing pain in the leg or foot. وفي الحالات المتقدمة تظهر قرح خصوصاً مع مرضى السكري بسبب عدم التئام الجروح، وقد ينتهي الأمر إلى حدوث الغرغرينا.
Symptoms of peripheral artery disease (PAD):
– Pain in the legs and feet at rest.
– Feeling of coldness in the foot.
– Changes in skin color.
– Frequent infections.
– Recurrent ulcers on the foot or toes.
What factors increase the risk of developing peripheral artery disease (PAD)?
-Smoking.
Diabetes mellitus.
-Age advancement, as a person gets older, they become more susceptible to peripheral artery disease.
-Hypertension.
-High cholesterol levels in the blood.
– Insulin resistance.
Obesity and overweight.
Having arthritis, lupus, or infection.
How is peripheral artery disease diagnosed?
Various tests are used for diagnosis, but the most important is a comprehensive examination and medical history. Additional tests may be used to determine the location of the blockage, including:
Doppler ultrasound.
X-ray imaging.
CT angiography.
Treatment options for peripheral artery disease vary.Treatment options depend on the patient’s overall health and the location of the blockage. Treatment can range from improving blood circulation by following some instructions such as quitting smoking, consuming healthy foods, exercising regularly, and controlling other risk factors like high blood sugar, high blood pressure, and high cholesterol. However, in advanced cases, the doctor may resort to peripheral artery bypass surgery.
Peripheral artery bypass surgery:
It involves a needle inserted into the artery under local anesthesia, and through a balloon, the arteries are dilated with the placement of a metal stent to keep the arteries open, allowing blood to flow into the limbs, resulting in complete blood flow to the foot. Thus, the risk of peripheral artery bypass surgery is eliminated because it does not rely on open surgery, but is performed through an endoscope and catheterization, making complications much less likely.
You can avoid the risk or complications of peripheral artery bypass surgery by choosing an experienced doctor in such procedures, such as Dr. Hossam El Mahdy, a vascular surgeon consultant at Cairo University. He ensures the use of the latest medical standards to guarantee the patient’s speedy recovery without any postoperative complications.
There are some instructions that must be followed after the leg artery angioplasty:
– Avoid movement for 12 hours after the procedure.
– Normal daily activities can be resumed the next day.
– It is advisable to take anti-clotting medications such as aspirin or Plavix.
– Completely quitting smoking.
– Paying attention to regular follow-ups with the doctor every 6 months.
You can get the best treatment for peripheral artery disease (PAD) in the clinic. Dr. Hossam El Mahdy is the best vascular surgeon in Al Mohandessin, Al Manial, Nasr City, and Fifth Settlement, thanks to his extensive experience. He has worked in several hospitals in Europe, the Gulf region, and Egypt, obtaining numerous certifications and training outside Egypt, especially in Germany, which has helped him gain this expertise. Additionally, he has received several prestigious awards for his contributions to the field of vascular surgery. Dr. Hossam El Mahdy obtained the first doctorate degree in vascular surgery in Egypt in 2013 from Kasr Al Ainy School of Medicine. Additionally, he has received numerous awards and honors for research related to this specialty.
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