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Tag Archives: Peripheral Vascular Disease

Peripheral Artery Disease – Dr. Advait Kothurkar

Peripheral Artery Disease – Dr. Advait Kothurkar

Peripheral Artery Disease

Peripheral artery disease (PAD) alludes to maladies of the veins situated outside the heart and cerebrum. They are regularly caused by a development of greasy stores in the courses. PAD is otherwise called Peripheral Arterial Disease or peripheral vascular disease (which incorporates the two supply routes and veins).
PAD influences the veins making them tight, along these lines confining the blood stream to the arms, kidneys, stomach, and most ordinarily, the legs.
Peripheral artery disease also called peripheral arterial disease, is a typical circulatory issue in which limited courses diminish blood stream to your appendages.
You regularly can effectively treats peripheral artery disease by stopping tobacco, eating a healthy diet and exercising.

Peripheral Artery Disease facts

•  The most ideal approach to Prevent Peripheral Artery Disease ( PAD) is by participating in physical action.
•  The most regular reason is a development of cholesterol in the arteries.
•  Peripheral artery disease is a danger factor for more genuine cardiovascular occasions.
•  Symptoms of Peripheral Artery Disease (PAD) incorporate lack of feeling and misery in the legs.

Claudication indications incorporate muscle torment or cramping in your legs or arms that is activated by action, for example, strolling, yet vanishes following a couple of minutes of rest. The area of the agony relies upon the area of the obstructed or limited supply route. Calf torment is the most widely recognized area.

The seriousness of claudication differs generally, from mellow uneasiness to weakening torment. Extreme claudication can make it difficult for you to walk or do different kinds of physical action.

Signs and Symptoms of Peripheral artery disease :

• Painful cramping in either of your hips, thighs or lower leg muscles after specific exercises, for example, strolling or climbing stairs (claudication)
• Leg deadness or shortcoming
• Coldness in your lower leg or foot, particularly when contrasted and the opposite side
• Slower development of your toenails
• Shiny skin on your legs
• No beat or a feeble heartbeat in your legs or feet
• Erectile brokenness in men
• Sores on your toes, feet or legs that won’t mend
• A change in the shade of your legs
• Hair trouble or slower hair development on your feet and legs

Risk factors

Here the following factors are that increase your risk of developing peripheral artery disease

• Smoking
• Diabetes
• Obesity (a weight list more than 30)
• High circulatory strain
• High cholesterol
• Increasing age, particularly subsequent to achieving 50 years old
• A family history of fringe corridor malady, coronary illness or stroke
• High levels of homocysteine, a protein segment that enables fabricate and keep up to tissue

Causes of peripheral artery disease(PAD)

Most Common Cause – for PAD is atherosclerosis. Atherosclerosis is a steady procedure in which a greasy material develops inside the supply routes.
Less Common Cause – of peripheral artery disease are blood clumps in the corridors, damage to the appendages, and bizarre life structures of the muscles and tendons.

How peripheral artery disease Diagnosed ?

There are a few different ways PAD can be analyzed, if the sickness is suspected, the specialist will at first check the patient’s legs.

Lower leg brachial list – the most well-known test for PAD, it is a test that thinks about the circulatory strain in the lower leg with the pulse in the arm.

Angiography, Ultrasound output and blood tests – may in like manner be recommended to check levels of cholesterol, homocysteine, and C-open protein.

Doppler and ultrasound (Duplex) imaging – a non-nosy method that photos the vein with sound waves and measures the circulatory system in a course to demonstrate the proximity of a blockage.

Enrolled tomographic angiography (CT) – another non-meddling test that photos the supply courses of a patient’s gut, pelvis, and legs. This test is particularly profitable in patients with pacemakers or stents.

Alluring Resonance Angiography (MRA) – gives tantamount information to that made by a CT channel, yet without the necessity for X-pillars.

Angiography – this is typically saved for use in conjunction with vascular treatment techniques. Amid an angiogram, a differentiation operator is infused into the vein and X-beams are taken to indicate blood stream and to pinpoint any blockages that might be available.

Undiscovered or untreated PAD can be hazardous; it can prompt agonizing side effects, loss of a leg, expanded danger of coronary vein sickness, and carotid atherosclerosis (a narrowing of the conduits that supply blood to the cerebrum).

Since individuals with PAD have an expanded danger of heart assault and stroke, the American Heart Association urges individuals in danger to examine PAD with their specialist to guarantee early conclusion and treatment.

Preventation of peripheral artery disease

The most ideal approach to prevent claudication is to keep up a sound way of life. That implies:

• Stop smoking in case you’re a smoker.
• On the off chance that you have diabetes, keep your glucose in great control.
• Exercise routinely. Go for 30 to 45 minutes a few times each week after you’ve gotten your specialist’s OK.
• Lower your cholesterol and circulatory strain levels, if material.
• Eat sustenances that are low in immersed fat.
• Keep up a solid weight.

Peripheral Artery disease

Peripheral Artery Disease or Peripheral vascular disease (PVD) is a slow-growing circulation disorder.

Peripheral artery disease is most often caused by an accumulation of fatty deposits in the arteries. Peripheral artery disease is a major risk factor which causes heart attack and stroke. Peripheral artery disease is a form of arterial insufficiency, means blood flowing(circulation) through the arteries (i.e. blood vessels that carry blood away from the heart) is decreased. Some people over the age of 50 are believed to suffer from peripheral artery disease. Men are most likely to develop PAD than women. People who smoke are most likely to develop Peripheral artery disease.

Other names that have been used to denote Peripheral vascular disease include:

  • Atherosclerotic peripheral artery disease
  • Hardening of the arteries
  • Peripheral artery disease
  • Poor circulation
  • Vascular disease
  • PAD

Surroundings related to PVD that affect the veins include Deep Vein Thrombosis (DVT), varicose veins, and chronic venous insufficiency. Lymphedema is also a clear example of Peripheral Vascular Disease which affects the lymphatic vessels. When PVD occurs in the arteries outside of the heart, it can also be referred to as Peripheral Arterial Disease (PAD).

peripheral artery disease


Symptoms and signs of peripheral artery disease include:

  • Numbness of the legs or feet.
  • Weakness, diminished size and strength of the calf muscle.
  • Coldness in the legs or feet.
  • Changes in the color of the feet; feet turn pale when they are elevated, and turn dusky red in the dependent position.
  • Hair loss and thickening of the toenails.
  • Poor wound healing in the legs or feet.
  • Painful ulcers, gangrene in areas of the feet where blood supply is lost(typically in the toes).

Risk for peripheral artery disease :

  • High blood levels of the cholesterol and triglycerides
  • Low blood levels of the “good” HDL cholesterol
  • Cigarette smoking
  • Diabetes mellitus (both type 1 and type 2 diabetes)
  • High blood pressure (hypertension, tension, mental stress) or a family history of hypertension
  • A family history of atherosclerotic disease
  • Chronic renal failure
  • Overweight or obesity

How is peripheral artery disease diagnosed?

Doppler ultrasound – It is a form of ultrasound (measurement of high-frequency sound waves that are reflected off of tissues) that can detect and measure blood flow. It is used to measure blood pressures behind the knees and at the ankles.

Duplex ultrasound – Is a color assisted non-invasive technique to study the arteries. Ultrasound probes are placed on the skin overlying the arteries which can accurately detect the accurate position of artery stenosis as well as measure the degree of obstruction.

Angiography – It is an imaging procedure to study the blood vessels of the extremities, similar to the way a coronary angiogram provides an image of the blood vessels supplying the heart. It is the most accurate test to detect the location(s) and severity of artery obstructions, as well as collateral circulations.

Magnetic resonance imaging (MRI) angiography uses magnetism, radio waves, and a computer to produce images of body structures and has the advantage of avoiding X-ray radiation exposure.

Computed tomographic angiography (CT) – It is another non-invasive test that images the arteries of a patient’s abdomen, pelvis, and legs. This test is specifically useful in patients with pacemakers or stents.

Treatment of peripheral artery disease includes

  • Terminating Smoking eliminates a major risk factor for diseases to progress, and it lowers the incidences of pain at rest and amputations. Controlling Smoking also is important to prevent heart attacks and strokes.
  • A healthy diet can help lower blood cholesterol and other lipid levels and may also help control blood pressure.
  • Keep other risk factors, such as diabetes, lipid levels, and blood pressure under control by changing your diets, regular exercise, meditation.


  • Antiplatelet medications
  • Anticoagulant medications
  • Cholesterol-lowering drugs
  • Cilostazol (Pletal)
  • Pentoxifylline (Pentoxyl, Trental)
  • Drugs to control hypertension

Dr. Advait Kothurkar is a Vascular Surgeon in Pune. With one of the largest Peripheral Vascular Surgical and Endovascular experience in the country, treating thousands of patients with vascular disease, Dr. Kothurkar offers balanced patient care with an emphasis on minimally invasive therapies. Under the leadership of Dr. Kothurkar, Pune’s most respected figure in vascular surgery nationally & internationally. Consult Dr. Advait Kothurkar for the treatment of Peripheral Artery Disease.