PERIPHERAL ARTERIAL DISEASE (PAD)

SCOPE OF PAD

Atherosclerosis is the most common cause of PAD but other causes are well recognized and need to be kept in mind in suspected PAD patients. PAD carries a significant morbidity and mortality and is a leading cause of surgical amputations.

RISK FACTORS FOR PAD

The PAD-peripheral arterial disease is a multifactorial disease and usually, multiple factors come in to play. A few of them can be modified like weight, cholesterol control & smoking. Rest cannot be modified like age, race & gender.

• Increasing age
• Male gender (risk in women is same after menopause)
• Smoking
• African American & Hispanic races
• High Cholesterol
• High Blood Pressure
• Diabetes mellitus
• Chronic Kidney disease

OTHER CAUSES PAD

Atherosclerosis is the most common cause of PAD but other causes are well recognized and need to be kept in mind in suspected PAD patients.

• Atherosclerosis, the most common cause of PAD
• Muscular dysplasia
• Inflammation of arteries mostly called Vasculitis
• Buerger’s Disease
• Arterial entrapment
• Endofibrosis

PAD TREATMENT IN BOSTON MA

TREATMENT OF PAD WITHOUT SURGERY
Nearly 90% of PAD patients can be stabilized avoiding the need for surgery or intervention if appropriate care is started early and patient follows the medical instructions and is on appropriate medications.

• Smoke cessation
• Blood glucose control
• Aggressive cholesterol management
• Anti-platelet medications like Aspirin or Clopidogrel
• Blood pressure control
• Weight management
• Supervised walking therapy
• Vasodilators like Cilostazol.