medical tourism, adenomyosis,Interventional Radiology India,Interventional Radiology Delhi,Fibroid embolization India,Fibroid embolization Delhi
 
Dr. Pradeep Muley M.D.
email:fibroid@indianinterventionalradiology.in
muleypradeep@hotmail.com
Mobile:+91-9810492778

 Peripheral arterial disease (PAD)

 Atherosclerosis The most common arteries to be involved :-
- legs (causing cramps when walking, known as claudication),
- carotid arteries (causing strokes) and
- the arteries to the kidneys (causing high blood pressure).

 Diabetic patient with critical limb ischemia
Peripheral Angioplasty as the First-choice Revascularization Procedure in Diabetic Patients with Critical Limb Ischemia.

 Thrombus / embolic critical limb ischemia
An acute limb ischemia due to thrombus.

 Blockage in the arteries supplying the legs can result in:
  • Pain, cramp, or tightness in the calves, thighs, hips or buttocks when walking, which is relieved with a few moments rest (also known as intermittent claudication)
  • in severe cases, pain occurring at night or at rest, which is often relieved only when the leg is hung over the edge of the bed or placed on a foot stool
  • skin ulcers (sores) or gangrene (dead tissue)


  •  Blockage that occurs suddenly can result in more severe symptoms in the arm or leg. These include:
  • sudden pain
  • paleness or whiteness
  • no pulse
  • numbness or tingling
  • coolness in one leg when the other leg is warm
  • paralysis (inability to move)


  •  Typical sites of blockages of the arteries:
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    An ischaemic foot which is purplish, cold and painful
    Pradeep muley, Interventional radiologist,batra hospital new delhi, batra hospital, medical tourism
           A typical vascular ulcer

     Treatment Options

     Bypass surgery:-
    Due to its invasive nature bypass surgery does carry a :-
    - high incidence of mortality and morbidity.
    - Restenosis and embolisms are relatively common.
    - Expensive.

     Endovascular procedures are becoming more popular.

    - It reduced morbidity compared to bypass,
    - cost-effective


    GI  bleed embolization,Post partum hemorrhage embolization,Post delivery bleeding

    Over the past 20 years angioplasty and / or stenting has replaced bypass as the initial treatment of choice

     Short Segment Stenosis

    adenomyosis, fibroid treatment, fibroids, fibroid, fibroid embolization,Renal angioplasty,Carotid artery stenting,CBD stenting,Percntanous nephrostomy
    Right Lower Limb Angiography with marked stenosis of distal SFA
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    Post angioplasty angiogram

     Limb threatening ischemia
    54 / Male
    - Period of 2 weeks, leg become purple, cold with severe pain and sweeling

    Angiogram shows anterior tibial artery & severe focal stenoses of the TP trunk and posterior tibial artery.

    Dr. Pradeep muley, Interventional radiologist
    Pre angioplasty angiogram
    Dr. Pradeep muley, Interventional radiologist
    Post angioplasty angiogram

     Iliac artery thrombus
    60/Male, An Acute onset of-
    - sever pain in left leg
    - colour become purple and
    - cold

    Diagnostic Angiogram shows an acute thrombus

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    HCC embolization,RFA Varicose vein GI  bleed embolization,Post partum hemorrhage embolization,Post delivery bleeding Renal angioplasty,Carotid artery stenting,CBD stenting,Percntanous nephrostomy

    Post angioplasty Angiogram

    Abscess drainage,Haemodialysis access management,lower limb angioplasty Dr. Pradeep muley, Interventional radiologist GI  bleed embolization,Post partum hemorrhage embolization,Post delivery bleeding GI  bleed embolization,Post partum hemorrhage embolization,Post delivery bleeding