The Peripheral Vascular Surgery consultation is an initial approach where the doctor performs a detailed questioning about the symptoms, history of personal and family illnesses, with special emphasis on detecting any important history that may be considered a risk factor, followed by a physical assessment. which focuses on pathologies of the peripheral vascular system such as: varicose veins, ulcers of venous and arterial origin, chronic venous insufficiencies, peripheral arterial disease and arterial aneurysms, among others. This consultation also provides orientation and management of the different diagnostic and minimally invasive procedures that currently exist for the management of the different pathologies of the circulatory system.
Peripheral arterial disease occurs when there is a narrowing of the blood vessels outside the heart. The cause of this disease is arteriosclerosis. This happens when plaque builds up on the walls of the arteries that supply blood to the arms and legs. Plaque is a substance made up of fat and cholesterol and causes the arteries to narrow or become clogged. This can reduce or stop blood flow, usually to the legs.
The main risk factors for peripheral arterial disease are smoking, aging, conditions such as diabetes, high cholesterol, high blood pressure, heart disease, and stroke.
- Changes in the skin, for example a lower temperature, or the skin on the legs and feet becoming thin, weak and shiny.
- Decreased pulsations in the legs and feet.
- Gangrene (dead tissue from lack of blood flow).
- Loss of hair on the legs.
- Non-healing pressure point wounds, such as heels or ankles.
- Numbness, weakness or heaviness in the muscles.
- Pain (with stitches or burning) at rest, usually in the toes at night when lying down.
- Paleness when raising the legs.
- Reddish-bluish discolorations in the extremities.
- Limited mobility.
- Intense pain.
- Thicker and duller toenails.