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Felicia Hughes, PTA7903 W. Capitol Dr.Milwaukee. WI 53233
PERIPHERAL VASCULAR DISEASE
A CLOSER LOOK
• Only 25% of the general population are aware of PVD or PAD• There are 8 – 12 million Americans in the U.S. with PVD• You don’t begin to experience signs and symptoms until the artery is 60% or more
blocked.• The disease increases mostly with age and is seen in people 65 or older
Facts
What Is It?
Peripheral Vascular Disease (PVD) is also known as Peripheral Artery Disease (PAD) is
• A serious disease of the circulatory system not involving the heart or brain
Peripheral Vascular Disease
Veins and Arteries
The Vascular System
Inside the artery
Vascular Disease
Factors that increase the chances of developing vascular disease include:
• Smoking• Diabetes• High blood pressure• High cholesterol• Weighing more than 30% of your ideal body weight• Advancing age• Genetics
What Causes Vascular Disease
SymptomsIs classified as
Mild pain in the legs with walking (incomplete blood obstruction) Severe pain when walking short distances (intermittent) Pain while resting – mostly in the feet when the leg is raised Discoloration on the lower legs Tissue loss (gangrene) and difficulty walking
Peripheral Vascular Disease
Test and Procedures
Ankle Brachial Index (ABI) or Ankle Brachial Pulse (ABP) is a blood pressure taken at the ankle.
PAD in indicated when the blood pressure in the leg is lower than the blood pressure in the arm.
Degree of Severity
Test and Procedures
Doppler Ultrasound (Duplex Doppler)
• Test that uses sound waves that locate the site of the blockage
Degree of Severity
Test and Procedures
Angiogram- shows the extent of the blockage (number of arteries blocked)
• A small tube is inserted into the femoral artery (groin region)• Tube is injected with dye which outlines the arteries
This allow the physician to get a clear view on x-ray of the arteries
Degree of severity
Blocked arteries
Procedure #1
Angioplasty - a procedure performed to dilate (open) the narrowed arteries.
• Catheter with a deflated balloon is inserted through the artery• Balloon inflated when catheter reaches the blockage to open the artery• Once opened the balloon is deflated and removed• Stent remains in the artery to insure the artery remains open
Treating the Problem
Procedure #2
Peripheral Artery Bypass – a surgical procedure where a vein is used to reroute the blood supply around the blocked artery.
• Your own• synthetic
Treating the Problem
Peripheral Artery Bypass
Awe!!!!!
Amputation - a surgical removal of a limb or body part.
• In the United States there are approximately 1.3 million amputees• 135,000 amputations occur each year• 90% of amputations are at the lower extremity• Usually occur as a result of disease or trauma
Amputation
Amputation
Surgical goals
• Quick healing• Prepare the residual limb for future prosthesis• Improve quality of life
Amputation
Treatment goals
• Little to no pain• Be able to bear weight• Able to move limb in all directions• Hospital stay 3-7 days• Soft cast made by the Occupational Therapist• Physical therapy for stretching, strengthening and safety techniques (fall risk)• Discharged with home care and physical therapy.
Amputation
Prosthetist
Prosthetist – a healthcare professional who is skilled at making and fitting artificial parts for the human body.
Amputation
Below the knee
Types of Prosthesis
Above the knee
Types of Prosthesis
Types of Prosthetic feet
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