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