ASSESSMENT OF PVD

Definition :

Types : --- Arterial

Venous
Lymphatic
Causes :
Conditions :
Risk Factors --- a) Not Modifiable
b) Modifiable
Symptoms :
 DIAGNOSIS

 ANGIOGRAM
 ANKLE – BRACHIAL INDEX ( ABI )
 BLOOD LIPID PROFILE
 DOPPLER ULTRASOUND FLOW STUDIES
 MAGNETIC RESONANCE IMAGING ( MRA )
 TREADMILL EXERCISE TEST

 PHOTOPLETHYSMOGRAPHY ( PPG )
 PULSE VOLUME RECORDING ( PVR ) WAVE
FORM ANALYSIS
 REACTIVE HYPEREMIA TEST

 SEGMENTAL BP MEASUREMENTS
RX :
 ANTIPLATELET AGENTS :

 ANGIOPLASTY :
Balloon Angioplasty
Atherectomy
Laser Angioplasty
Stent

 VASCULAR SURGERY :

 COMPLICATIONS :

 PREVENTION
INTERMITTENT CLAUDICATION
 Signs :

 Causes :

 Diagnosis

 Treatment :

Drugs : 1) Pentoxifylline (Trental)

2) Cilostazol (Pletal)
 BUERGERS DISEASE
( TAO )
 Symptoms : Gangrene of the Toes & Fingers

 Investigations :
Arteriography
ESR
Autoantibodies
Coagulation Screening
Lipid Profile

RX : Sympathectomy
 RAYNAUD’S
DISEADE
Follow the use of Vibrating Tools

Rx :
• Sympathectomy rarely used
Revascularisation
Balloon Angioplasty
Laser Ablation
• Drugs like : Nifedipine
Steroids

Patients with Vibration White Finger should

avoid Vibrating Tools
PT MX OF P V D’S