ANATOMY OF PERIPHERAL VASCULAR SYSTEM

dr. Ridwan Harrianto MHSc(OM).Sp.Ok

Peripheral Vascular Disease

Peripheral artery disease
PAD in the Legs

Carotid (Neck) Artery Disease

Renal (Kidney) Artery Disease Aortic Disease

Peripheral Vein Disease

Deep Vein Thrombosis (blood clots in the

deep veins of the limbs) and Pulmonary Embolism (blood clots that travel to the lungs) Chronic Vein Disease

Peripheral Artery Disease (PAD)

PAD in the Legs
Carotid (Neck) Artery Disease Renal (Kidney) Artery Disease Aortic Disease

PAD in the leg

Atherosclerosis tissues damage Men > women

mild pain when walking (claudication)

severe pain when walking relatively

short distances (intermittent claudication) pain while resting (rest pain), mostly in the feet, increasing when the limb is raised biological tissue loss painful sores on the toes or feet dry, gray, or black sores gangrene

Carotid(Neck) Artery Disease

Carotid artery atherosclerosis plaque rupture Thrombus Stroke

Kidney Artery Disease

Aortic aneurysm
Atherosclerosis the walls of the aorta less

flexible + inflammation weakening of the artery walls. Smoking + problems with the artery lining + the force of blood flowing through the aorta a breakdown of the aortic wall aneurysm.

Peripheral Vein Disease

Deep Vein Thrombosis (blood clots in the deep veins of the limbs) and Pulmonary Embolism (blood clots that travel to the

lungs) Chronic Vein Disease

Deep Vein Thrombosis (DVT)

The formation of blood clots in the body's large veins, usually in the lower leg or calf.
Partially or completely block the vein

Deep Vein Thrombosis (DVT)

Risk Factors
Obesity and overweight Smoking Thrombophilia Cancer Varicose veins

Triggers A " trigger" event causes the blood clot to form. Major surgery Trauma (especially fractures of the pelvis, hip, or leg) An extended period of immobility, for example:
During a hospital stay In a nursing home

Unique factors that can put women at risk include: Oral contraceptives Hormone replacement therapy (HRT) Pregnancy

Deep Vein Thrombosis (DVT)

DVT is often "silent" Swelling in one leg or along a vein in a leg or arm Pain or tenderness in one limb (may only appear when standing or walking)

Warmth, redness, or discolored skin in the affected leg or arm Unfortunately, the first sign of DVT is often a lifethreatening pulmonary embolism

Pulmonary embolism

Chronic Venous Insufficiency (CVI)

Outflow obstruction (intravascular

thrombosis (DVT) / extrinsic compression Superficial veins dilated valve incompetence in the deep or superficial veins The veins to bulge out and twist

Chronic Venous Insufficiency (CVI)

No symptoms at first Swelling, pain,cramping, muscle

fatigue, and restless legs. telangiectasia (spider veins) skin discoloration inflammatory dermatitis recurrent or chronic cellulitis, Varicose veins Bleeding from varicose veins Recurrent thrombophlebitis Chronic non healing leg ulcers