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Perifpheral vascular disease refers to a disease of the blood vessels outside the heart and the brain. Usually it is a matter of narrowing of the blood vessels that carry blood to the hands, legs, abdomen or kidneys.

What are the symptoms?

In the initial stage, common symptoms of poor circulation in the legs include twitching, weakness, weight and pain or discomfort in the legs and buttocks during activity. These usually disappear when the activity is terminated and they are called intermittent claudications.

Symptoms of poor circulation in kidneys include high blood pressure or pressure that is difficult or impossible to control with medications. Severe blockage of the renal arteries may result in loss of renal function or renal failure.


How is peripheral artery disease diagnosed?


How is PAD diagnosed?

The diagnosis of PAD starts with a medical history and a physical examination.


  • Doppler and duplex ultrasound sonography
  • Magnetic resonance imaging
  • Computed tomography
  • Regular (catheter) angiography

How is PAB treated?

In most people, PAB can be treated by introducing changes in the person’s lifestyle, medications or both. However, there are cases where PAB must be treated surgically or with a peripheral bypass surgery.

What is peripheral bypass surgery?


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What is a peripheral bypass surgery?

Peripheral bypass surgery is surgery of the peripheral arteries and veins. It uses blood vessels taken from another part of the body or artificial prostheses in order to bypass the blocked or narrowed part of the arteries.

What is happening during the surgery?

During the surgery, usually spinal anesthesia is applied, however depending on the condition and the desire of the patient, the surgery can also be guided in general anesthesia. The surgery lasts 2-3 hours.

The specificity of the surgical procedure depends on your symptoms and the overall condition, and the amount of plaques that has deposited in your arteries. In general, for a bypass of a leg or an arm, your surgeon will choose a vein that will serve as a bypass graft to your artery. Sometimes due to the condition, it is necessary to use artificial prostheses as a bypass graft instead of a vein.


What can I expect after the surgery?


  • Your hospital stay will be between 3 and 10 days.
  • You will be accommodated at the intensive care unit.
  • You will be connected to monitoring devices during the first few hours.
  • You may feel pain.
  • You will be given medications.
  • You can eat normally and you will feel better every day.
  • You will start to move almost immediately.