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What Is PAD?
Contents:
  1. Peripheral Arterial Disease | Society for Vascular Surgery
  2. Peripheral artery disease: Symptoms, causes, and more
  3. About Peripheral Artery Disease
  4. Peripheral Arterial Disease and Claudication

Stopping smoking. Getting started with exercise. Losing weight. With treatment, most people's symptoms remain relatively stable and some people may experience an improvement in their pain. The blockages in the arteries in the legs can also affect other areas of your body, such as the arteries supplying the heart and brain. CLI is an extremely serious complication that can be challenging to treat.

Peripheral artery disease: Symptoms

Page last reviewed: 24 October Next review due: 24 October Symptoms of peripheral arterial disease Many people with PAD have no symptoms. Be aware that: Many people mistake the symptoms of PAD for something else. PAD often goes undiagnosed by healthcare professionals. People with peripheral arterial disease have a higher risk of coronary artery disease, heart attack or stroke. Left untreated, PAD can lead to gangrene and amputation. View our interactive PAD library Added risks for PAD Other factors can increase your chances for peripheral artery disease, including: Your risk for peripheral artery disease increases with age.

If you smoke , you have an especially high risk for PAD. If you have diabetes , you have an especially high risk for PAD. Some cases of PAD can be managed with lifestyle changes and medication. Atherosclerosis and PAD If you have atherosclerosis , that means that plaque has built up inside your artery walls. If the blockage occurs in a carotid artery, it can cause a stroke. He or she can hear this sound with a stethoscope. A bruit may be a warning sign of a narrowed or blocked artery.

Your doctor may compare blood pressure between your limbs to see whether the pressure is lower in the affected limb. He or she also may check for poor wound healing or any changes in your hair, skin, or nails that may be signs of P. A simple test called an ankle-brachial index ABI often is used to diagnose P. The ABI compares blood pressure in your ankle to blood pressure in your arm.

This test shows how well blood is flowing in your limbs. ABI can show whether P. A normal ABI result is 1. The test takes about 10 to 15 minutes to measure both arms and both ankles.

Peripheral Arterial Disease | Society for Vascular Surgery

This test may be done yearly to see whether P. The illustration shows the ankle-brachial index test. The test compares blood pressure in the ankle to blood pressure in the arm. As the blood pressure cuff deflates, the blood pressure in the arteries is recorded. A Doppler ultrasound looks at blood flow in the major arteries and veins in the limbs. During this test, a handheld device is placed on your body and passed back and forth over the affected area. A computer converts sound waves into a picture of blood flow in the arteries and veins. The results of this test can show whether a blood vessel is blocked.

The results also can help show the severity of P. A treadmill test can show the severity of symptoms and the level of exercise that brings them on.

You'll walk on a treadmill for this test. This shows whether you have any problems during normal walking. You may have an ABI test before and after the treadmill test. This will help compare blood flow in your arms and legs before and after exercise.

A magnetic resonance angiogram MRA uses magnetic and radio wave energy to take pictures of your blood vessels. This test is a type of magnetic resonance imaging MRI.

An MRA can show the location and severity of a blocked blood vessel. If you have a pacemaker , man-made joint, stent , surgical clips, mechanical heart valve, or other metallic devices in your body, you might not be able to have an MRA. Ask your doctor whether an MRA is an option for you.

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Peripheral artery disease: Symptoms, causes, and more

An arteriogram provides a "road map" of the arteries. Doctors use this test to find the exact location of a blocked artery. For this test, dye is injected through a needle or catheter tube into one of your arteries. This may make you feel mildly flushed.

After the dye is injected, an x ray is taken. Some doctors use a newer method of arteriogram that uses tiny ultrasound cameras.

About Peripheral Artery Disease

These cameras take pictures of the insides of the blood vessels. This method is called intravascular ultrasound. Your doctor may recommend blood tests to check for P. For example, blood tests can help diagnose conditions such as diabetes and high blood cholesterol. Treatments for peripheral artery disease P. The overall goals of treating P. Treatment is based on your signs and symptoms, risk factors, and the results of physical exams and tests. Treatment may slow or stop the progression of the disease and reduce the risk of complications.

Without treatment, P. In extreme cases of P. Your doctor may recommend bypass grafting surgery if blood flow in your limb is blocked or nearly blocked. For this surgery, your doctor uses a blood vessel from another part of your body or a synthetic tube to make a graft. This graft bypasses that is, goes around the blocked part of the artery. The bypass allows blood to flow around the blockage. During this procedure, a catheter thin tube with a balloon at the tip is inserted into a blocked artery. The balloon is then inflated, which pushes plaque outward against the artery wall. This widens the artery and restores blood flow.

A stent a small mesh tube may be placed in the artery during angioplasty. A stent helps keep the artery open after angioplasty is done. Some stents are coated with medicine to help prevent blockages in the artery. Atherectomy is a procedure that removes plaque buildup from an artery. During the procedure, a catheter is used to insert a small cutting device into the blocked artery. The device is used to shave or cut off plaque.

Peripheral Arterial Disease and Claudication

Researchers are studying cell and gene therapies to treat P. If you have peripheral artery disease P. However, you can take steps to treat and control P. Try to take a break and allow the pain to ease before walking again. Over time, this may increase the distance that you can walk without pain.