What is Peripheral Vascular Disease? PVD is an umbrella term. It refers to all diseases of blood vessels found outside the heart or the brain. It can affect both a patient’s arteries and veins, according. Most often, people using the term are referring to PAD, which is a narrowing or occlusion caused by plaque in the arteries.
Treatment alternatives include lifestyle changes, angioplasty, medications, surgery or a combination of these options. Often the treating physician is a vascular specialist or a cardiologist who specializes in peripheral vascular problems.
It affects approximately 25 million Americans ,a condition which often results in varicose veins and symptoms including pain, swelling, leg fatigue, ulcers, etc. As you may know, this can have a significant effect on a person’s lifestyle. With venous reflux disease, the valves inside the vein do not function properly, thus blood flow is reversed causing pooling or swelling in the veins. This results in varicose veins that can be painful, swollen, and tender. They do not heal for weeks or months, and occasionally persist longer causing ulcerations in lower extremities.
Venous ulcers (also known as non-healing wounds) are open wounds occurring around the ankle or lower leg.
Dr. Gupta works in collaboration with wound care and Hyperbaric oxygen therapy across the valley which enhances limb salvage and specializes in procedures to prevent amputation and improve quality of life.
Not a Guaranteed Fix
Like other cardiovascular surgical procedures, the limb salvage procedure is not a guaranteed permanent fix for all vascular problems. National patient studies show that between 20 to 50 percent of arteries re-opened with stents or ballooning will re-clog within the first year. But the point of limb salvage isn’t necessarily to keep the artery open for life. By working to save the limb, physicians are hoping to keep the artery open long enough for the ulcers caused by circulatory blockage to heal.
For some patients, the minimally-invasive limb salvage technique has meant the difference between losing a toe and losing a foot – or an entire leg.
Reduced blood flow to the affected limbs impairs their function. In the legs and feet it can cause difficulty walking, painful foot ulcers, infections, and even gangrene leading to amputation.