Internal Medicine

Treatment of Lower Limb Obstructive Arteriosclerosis【Kishiwada Tokushukai Hospital】

implementation facility

Kishiwada Tokushukai Hospital

Facility Details

program name: Treatment of Lower Limb Obstructive Arteriosclerosis【Kishiwada Tokushukai Hospital】

genre

Internal Medicine：Internal Medicine

program details: 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.

requirement, condition for apply: 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.

precaution, contraindication: [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.