Arteriosclerosis Obliterans is also known as peripheral artery disease. It’s a medical condition in which there is occlusion or blockage in the arterial walls in the legs due to which they become narrow, resulting in reduced blood flow. Elderly individuals especially males are more prone to developing peripheral artery disease.
Find out more about what causes occlusion in the arteries and how you can opt for arteriopathy obliterans treatment in Turkey from top healthcare facilities.
Arteriosclerosis obliterans is a common complication of atherosclerosis cardiovascular disease and its contributing factors are:
Gender (males are more susceptible)
Narrowing of an artery deprives the affected body parts of oxygen because enough blood is not reaching the tissues. This lack of
oxygen is called ischemia which can lead to tissue death.
The symptoms of peripheral artery disease depend on the severity and location of the blockage. The early signs and symptoms are
As the disease progresses, the following symptoms start to appear:
Muscle atrophy (muscle may waste away due to lack of oxygen supply
Diagnosis involves measuring the blood flow of the affected regions. Following an ultrasound, the arterial pressure of the affected limbs is compared. X-rays and arteriography also give an irregular calcification shadow in the affected artery. This helps in determining the extent of occlusion so that the coronary atherosclerosis treatment is planned.
The coronary artery disease treatment strategy covers medications, angioplasty, or surgery.
Medications
The goal of therapy through coronary artery disease medications is to remove blockade (by dissolving the clot) and reduce symptoms (mainly claudication). Thrombolytics or fibrinolytics are prescribed to dissolve blood clots. Other medications may include vasodilators, antiplatelet drugs, and anticoagulants such as heparin.
Angioplasty
Angioplasty is performed immediately if a blockage occurs suddenly so that the limb can be saved from losing its function. It involves the insertion of a catheter carrying a balloon at its tip into the narrowed artery. The balloon is inflated upon reaching the catheter at the targeted site. A stent is inserted in the artery to keep it open.
Surgery
Artery surgery is performed if claudication is not relieved by other treatment strategies, when there is no wound healing, or when gangrene starts to develop. Surgical cure for arteriopathy obliterans reduces the chances of amputation of the leg.
Bypass surgery is an alternative approach in which a graft is placed at the blocked artery or above or below the blockade so that blood is rerouted around the blocked region. The graft is a tube made up of a synthetic material or a vein from another part of the body.
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Atherosclerosis, the formation of fatty plaque in the arterial walls is the main reason for arteriopathy obliterans. Thrombus (clot) formation is another reason for interrupted arterial blood flow toward the extremities.
The risk of developing this disease after the age of 40 years, in smokers, if a person has diabetes or hyperlipidemia, and hypertension. Moreover, people with high homocysteine levels, obese individuals, and men are more prone to developing peripheral artery disease
The doctor takes a physical examination and rules out the symptoms. The patient's blood pressure is monitored with tissue oxygen levels. Other risk factors such as blood sugar, ESR, blood cholesterol levels, and homocysteine levels are also measured. Ultrasound, x-rays, and angiography are executed ahead.
The goals of the therapy are to prevent the disease from progressing, to decrease the risk of heart attack, to save the leg from amputation, and to relieve symptoms like claudication thereby improving quality of life
Risk factors such as hypertension, diabetes, and hyperlipidemia should be managed vigilantly. Lifestyle changes such as quitting smoking, exercising, and healthy diet are the measures to avoid disease prognosis.