Diagnosis and treatment of aortic lesions and lower limbs
The first symptoms of the disease
Peripheral arteries - the arteries of the lower and upper extremities. The arteries of the lower limbs suffered more often when you have atherosclerosis and other pathological states of the peripheral arteries of the lower limbs.
Pain in the legs when you are walking - the main symptom of lower limbs arterial disease. Pain may occur in hips, buttocks, knees, legs and feet – it’s depending on the destruction level of leg arteries. With the age the risk peripheral arterial disease increases. Every third elderly person over 70 years has a disease of the lower limb arteries. Smoking and diabetes mellitus in several times increase the risk disease progression.
The most important vessel in our body is aorta; it branches into two parts - iliac arteries. These arteries are divided into femoral arteries, which supply blood the lower limbs up to fingertips.
Normally, the inner wall of the arteries is smooth. But with age the arterial lumen narrows and lower limbs blood flows get worse.
- Lower limbs vascular disease (obliterating atherosclerosis, arterial aneurysm, deep vein thrombosis)
- Diabetic foot syndrome
- Occlusive disease of the aorta and iliac vessels
- Abdominal aortic aneurysm
Cases for lower limbs arteries angiography are determined by the attending physician, who appoints the necessary analysis and examinations, such as:
- Blood tests: complete count, blood group, Rhesus factor, RW, HIV, hepatitis B and C tests
- Ultrasonic duplex scanning of the lower limbs
The operation run
During the procedure an anesthesiologist and cardio- intensivist are next to the patient.
Surgery is made under local anesthesia. The catheterization area is treated with preservative. Through the vessel puncture site, about 1-2mm, introducer is inserted (a special plastic tube, allowing insert and remove the catheter, and others tools without undue injury to the vessel at the puncture site).
Radiopaque drug is inserted into the vessel through catheter and at the same time is started high-speed X-ray photography for a given program.
Constant monitoring is carried out during angiography, as the course of the procedure and the patient's condition.
During surgery a patient is conscious, that allows professionals to maintain regular contact, to determine the condition of the patient and prevent complications. The duration is usually about an hour or a little bit more.
After catheter removal, compressive bandage is applied on the puncture area and on the next day appointed a bed rest. On the first day after surgery is necessary to has enhanced drinking regime to improve of contrast agent excretion (1-1.5 liters of mineral water without gas). Because of little traumatic procedure rehabilitation period is not more than one day.