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Arterial Leg Ulcers

Arterial ulcers, also known as Ischemic ulcers or Ischemic wounds, develop as the result of damage to the arteries due to lack of blood flow to the tissue. They are commonly caused by peripheral artery disease (PAD). Unlike other ulcers, these leg wounds can take months to heal, if they heal at all.

With over 30 years of experience, our expert cardiovascular specialists at CACVI are able to help you find the best solution for your Arterial ulcers. We carry out diagnosis and work with you to decide which procedure is the best fit for your situation. If you or one of your loved ones is suffering from this type of leg ulcer, don’t hesitate to reach out to us today for a consultation. 

Arterial ulcers, also known as ischemic ulcers or ischemic wounds, develop as a result of damage to the arteries due to lack of blood flow to the tissues, which can be avoided if treated for a while, so players online casinos always seek immediate medical attention. But for many who are unaware of arterial ulcers, information about the symptoms of arterial ulcers can be helpful in starting treatment immediately, which doctors recommend, enabling patients to learn about casino strategier. The Center for Advanced Cardiology and Vascular Interventions (CACVI), where more than 15,000 successful vascular and heart surgeries practice the treatment of arterial ulcers, and our patients are always satisfied with experienced doctors, and also discover the possibility of earning money in online casinos.

UAUnderstanding Arterial Leg Ulcers

Understanding Arterial Leg Ulcers

Arterial leg ulcers are wounds that fail to heal due to poor blood supply to the legs through the arteries. It often occurs when the arteries are blocked or narrowed, caused by atherosclerosis.

When situations of leg ulcers occur, it could be arterial or venous leg ulcers. As mentioned above, arterial leg ulcers are caused by poor blood flow through the arteries. When this occurs, the skin around an arterial ulcer can appear pale or shiny. 

On the other hand, venous leg ulcers are caused by chronic venous insufficiency. It happens when the leg veins fail to return blood back to the heart efficiently. This leads to pooling of blood and increased pressure in the veins. They are likely to occur on the inner leg just above the ankle. 

In comparison, venous leg ulcers are less painful than arterial ulcers. Also, the skin may appear discolored or swollen for venous ulcers. 

Causes and Risk Factors of Leg Ulcers 

Causes and Risk Factors of Leg Ulcers 

Atherosclerosis is the main cause of arterial leg ulcers. It is a condition where there is an accumulation of plaque inside the artery walls. This limits blood flow supply to the legs. When this happens, it can lead to cell death and ulcer formation. 

Smoking is another cause of arterial leg ulcers as it is a risk factor for the development of atherosclerosis. The chemicals in tobacco can damage the lining of the arteries, promote plaque buildup, and decrease oxygen in the blood. Furthermore, Diabetes and Hypertension, when poorly controlled, can lead to the development of arterial leg ulcers. 

Age and Gender are also risk factors for arterial leg ulcers. As individuals become older, the arteries naturally become stiffer and narrower. And as for gender, men are generally at higher risk of developing atherosclerosis at a younger age than women. 

Another risk factor for arterial leg ulcers would be living a sedentary lifestyle. In addition, family history and genetics play a role in the susceptibility of any individual to atherosclerosis and arterial leg ulcers. 

What are the Symptoms of Arterial Ulcers?

What are the symptoms of arterial ulcers?

Arterial ulcers often form on the outer side of the ankle, feet, heels, or toes. They can form in other areas, too. These ulcers are painful and have a “punched out” appearance.

Other symptoms or characteristics of arterial ulcers include:

  • red, yellow, or black sores
  • deep wound
  • tight, hairless skin
  • leg pain at night
  • no bleeding
  • the affected area is cool or cold to touch from minimal blood circulation
  • leg reddens when dangled and turns pale when elevated

Treatment Options

Treatment Options

There are different treatment options for arterial leg ulcers, depending on the severity of the condition. For the initial stage, conservative treatments like pain management and foot care are recommended. Given the painful nature of arterial leg ulcers, pain relievers are often prescribed, depending on the severity of the pain. We also advise patients to keep their feet clean and dry to avoid injuries. Wearing appropriate footwear also helps prevent new ulcers from developing.

In managing arterial leg ulcers, the wound should regularly be cleaned and dressed to prevent infection. Debridement of the wound is also necessary to reduce the risk of infection and promote healing. If an infection is present, it may be treated with antibiotics. However, you must consult with your healthcare provider and avoid self-medication. 

You can also manage arterial leg ulcers by making some lifestyle changes like quitting smoking and exercising regularly. These help to reduce the chances of developing atherosclerosis.

In severe cases of arterial leg ulcers, you might be recommended for surgical options like angioplasty and stenting. It involves inflating a small balloon inside the artery to open the blockage. Then, a stent is placed to keep the artery open.

A bypass surgery may also be recommended to reroute the blood flow around the blocked or narrowed artery. This improves blood supply to the affected area. In very severe cases where the ulcer does not heal and there is a significant risk of infection spreading, amputation of the affected limb may be necessary.

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    Dr. Moinakhtar Lala and Dr. Mehran J. Khorsandi of CACVI

    Dr. M Lala, Dr. Mehran J. Khorsandi and Dr. V Lala

    Meet Your Specialists

    The Center for Advanced Cardiac and Vascular Interventions (CACVI) is led by Dr. M Lala, Dr. Khorsandi and Dr. V Lala, who have over thirty years of practice with over 15,000 successful vascular and cardiac procedures performed. Our physicians are determined to provide each patient with unparalleled expertise and compassionate care as they work diligently to improve your health.

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