Heart Valve Surgery
Coronary By-Pass Surgery
Aortic Surgery And Aneurysms
Peripheral Vascular Diseases
Lymphatic System Diseases
• Prof. Suat BÜKET, MD
• Arzum KALE, MD
• Ulusal COŞKUN, MD
• Yılmaz DENİZ, MD
• Makbule KESİCİ, MD
PERIPHERAL VASCULAR DISEASES
Peripheral vascular diseases refer to the diseases related to peripheral arteries. Peripheral artery disease is a kind of disease occurred due to full or partial blockage of arteries supplying blood flow to arms, legs and internal organs due to arteriosclerosis. The major cause of chronic occlusive disease in legs in patients under 35 years of age is atherosclerosis obliterance.
Atherosclerosis occurs with adhesion of hard mass of cholesterol (plates) to arteries wall. These cholesterol-adhesive plates causes hardening of artery walls and narrowing of channel (lumen) within artery. Atherosclerosis begins to occur at an early ages in human body. When atherosclerosis aggravates with age progression, severe stenosis can occur in arteries and ischemia (lack of blood and oxygen) may occur in these veins. Advanced atherosclerosis of arteries of leg causes leg pain while walking or exercising (claudication) and delays in wound healing leg ulcers (open sores).
What are the risk factors in peripheral vascular disease?
Peripheral vascular disease is is more common in men when compared with women. Risk factors are the same with the causes constituting atherosclerosis (vessel stiffness) These risk factors are as follows:
• High LDL cholesterol (bad cholesterol) and triglyceride levels in blood
• HDL cholesterol (good cholesterol) levels in blood
• Diabetes mellitus (diabetes)
• Hypertension or hypertension history in the family
• Patient history depending on atherosclerosis (vessel stiffness) in the family
• Chronic renal failure
• Overweight and obesity
What are the symptoms in peripheral vascular disease?
No symptoms are seen in the most of the persons with peripheral vascular disease. Pain in legs after walking; leg pain felt during resting in advanced level. Resting pain occurs in cases where sufficient blood and oxygen cannot be delivered even to legs in resting and atherosclerosis is in very advanced level. Besides pain, numbness, weakness in calf muscles, coldness in legs and feet, cold feeling, colour change in legs, losing hairs at the back of feet and thickening of feet nails are other symptoms.
Peripheral bypass procedures and endarterectomy methods are applied for peripheral vascular disease treatment. Long segment lesions causing obstruction within vein, vessels containing several stiffness or long-segment serious stenosis conditions are the cases requiring surgical treatment. Bypass surgery is to restore blood flow again with a bypass way formed before and after occluded area with vein taken from your body or synthetic vessel. However, in endarterectomy procedure, plate layer causing clogging inside the vessel going through arms or legs.
• Artery diseases
• Vein (venous disease)
• Lymphatic system disorders (very thin ancillary vessels for carrying food) are the diseases causing to well-defined clinic portraits and different from one another and keeping the system.