Treatment of Lower Limb Obstructive Arteriosclerosis【Kishiwada Tokushukai Hospital】

Internal medicine Kishiwada Tokushukai Hospital(Kinki/Osaka)

Prompt Response to Arteriosclerosis in the Legs

Providing Accurate Diagnosis and Treatment

Lower limb obstructive arteriosclerosis (PAD) carries a risk of gangrene or limb amputation if early symptoms are overlooked. Our hospital has established a system for same-day diagnosis and is nationally recognized for its achievements in catheter-based treatment.

Genres
  • Department
    Internal medicine
  • Disease
    Other Visceral Diseases
  • Examination Items/Treatments/Surgical method
    Second Opinion Catheter-Based Treatment
  • Region/Organ
    knees ankle heart blood vessels
Program Summary
Arteries leading to the legs are no exception when it comes to atherosclerosis. A significant issue with leg atherosclerosis is a condition known as lower limb obstructive arteriosclerosis (PAD).

When atherosclerosis affects the arteries in the legs, it is often accompanied by atherosclerosis in the heart or brain arteries as well. Early symptoms include a condition known as intermittent claudication, characterized by heaviness and pain in the calves during walking, which subsides after a few minutes of rest, allowing the person to walk again. Early detection and treatment at this stage are crucial, as many cases are overlooked as simple muscle pain.

The severity of this condition lies in the progression to critical limb ischemia, where the toes or feet suddenly turn black (gangrene), accompanied by bacterial infection that leads to wounds that do not heal and may require limb amputation. This is commonly seen in individuals with diabetes or those undergoing dialysis.

At our hospital, we have developed a system to diagnose PAD on the day of the visit using upper and lower limb blood pressure measurements (ABI) and vascular ultrasound. Additionally, our facility is nationally recognized as a leading institution in catheter-based treatments.
Medical Institutions
Kishiwada Tokushukai Hospital
〒596-0042
4-27-1 Kamoricho, Kishiwada City
Examination Items
Setup Date
Excluded days
Required Days/Hours
Start/end time
Eligibility Criteria/Exclusions for Treatment
1. Medical Information:
- Diagnosis
- Details of symptoms
- Onset date and progression
- History of treatment at other facilities and availability of referral letters

2. History of Treatment:
- Past treatments (e.g., surgery, medication, rehabilitation)
- Effectiveness of treatment and presence of side effects
- Current medications and presence of allergies

3. Age:
- Age restrictions for patients (e.g., suitability for pediatric or elderly care)

4. Treatment Duration, Days, and Time:
- Estimated hospitalization period
- Time required for treatment or examinations
- Frequency of outpatient visits and availability of emergency care

Based on the above information, we determine the acceptability of the patient and develop an appropriate treatment plan.
Precautions / Contraindications
[Precautions and Contraindications]

1. Cases Not Suitable for Surgery or Treatment:
- Patients with severe comorbidities (e.g., heart failure, untreated infections, advanced renal failure) may face significant risks for surgery or catheter-based treatments, requiring careful consideration.
- In cases of terminal atherosclerosis or extensive vascular occlusions, catheter-based treatments may be difficult.
- For patients with advanced gangrene caused by diabetes, urgent intervention is necessary, but some cases may be challenging to treat.

2. Precautions Related to Medication Therapy:
- Patients taking anticoagulants or antiplatelet drugs must discontinue them before treatment, following prescribed instructions carefully.
- If there is a history of allergies or adverse reactions to medications, special caution is required in drug selection.

3. Risks of Post-Treatment Complications:
- Risks such as thrombosis, bleeding, and infection necessitate postoperative care and regular follow-ups.
- Since there is a risk of restenosis, lifestyle modifications and periodic monitoring after treatment are essential.

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[Important Pre-Treatment Information]

1. Preoperative Preparation:
- Preoperative tests (e.g., blood tests, vascular ultrasound, ABI measurements) are critical for accurate diagnosis and treatment planning and must be completed.
- Follow instructions on the discontinuation period for anticoagulants or antiplatelet drugs and alternative therapies, if required.

2. Postoperative Complications and Care:
- Risks such as wound infections, thrombosis, and bleeding require adherence to the physician’s instructions and immediate reporting of any abnormalities.
- Regular follow-ups and monitoring are necessary to address risks of restenosis or recurrence.

3. Lifestyle Modifications:
- After treatment, lifestyle changes such as smoking cessation, exercise, and dietary management are crucial to prevent the progression of atherosclerosis.

4. Hospitalization and Postoperative Schedule:
- The duration of hospitalization and postoperative observation varies depending on the patient’s condition, and the schedule should be confirmed in advance.
- Adhere to instructions regarding limitations on activities and daily life after discharge.

5. Emergency Response:
- If symptoms such as leg pain, fever, or discoloration of toes occur after discharge, contact a medical facility immediately.
- Confirm emergency contact information and the availability of medical facilities capable of responding to urgent cases in advance.

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