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Diagnosis for patients affected by peripheral artery diseases includes a thorough clinical vascular exam, Doppler ultrasound study, tissue oxygenation measurement, and wound care assessment. The main symptom of peripheral artery diseases is leg pain, and patients will often have experienced tissue loss and open leg wounds or ulcers.
Early Diagnosis is Essential.
Diabetic foot syndrome is a serious problem in the Gulf region, where the incidence of diabetes is high, and early diagnosis and treatment is essential. Patients often reach Cleveland Clinic Abu Dhabi at a late stage of the disease, when a significant amount of foot tissue is already lost and infection has already started. Outcomes are significantly improved when patients seek help when experiencing early symptoms of the disease, such as leg pain, discoloration of the foot or leg, and small wounds or ulcers of the foot.
Only in the early stages can minimally invasive treatment methods successfully be used to avoid amputation.
Treatment for peripheral artery diseases varies depending on the patient.
For diabetic foot syndrome, a specialized team dealing with foot problems in diabetes patients creates an individualized treatment plan. The treatment plans usually include infection control with antibiotics, improvement of blood flow to the limb, limited removal of dead tissue, and healing support with casts and specially designed boots or shoes. Treatment may require surgery on affected areas, and sometimes the amputation of toes. This is the first step in treatment to help prevent the infection from spreading.
If arterial obstructions are present, the blockages are treated with non-invasive techniques such as catheter-based artery dilatation (angioplasty) using balloons and stents, or recanalization (atherectomy), using drilling and suctioning devices to remove blockages from the artery.
For extensive artery blockages, bypass surgery may be needed, and is performed with the most advanced materials and techniques. After surgery, the patient will be referred to the outpatient clinic to prevent the disease from recurring. Outpatient treatment can include podiatric care, orthotic support, and wound care.
Patients with peripheral aneurysms are treated using catheter procedures, such as covered stents, or by surgical resection and implantation of a synthetic graft/tube. These operations help prevent blood vessels from rupturing.
The multidisciplinary team works in close coordination to treat tissue damage and repair circulation. On all levels, special care coordinators and administrators are involved. Caregivers involved in patient care for this program are: