Peripheral Artery Disease (PAD) Treatment in Singapore

Patient Presentation

Patient has a history of long-standing diabetes and presented with right leg critical ischaemia with non-healing right big toe amputation wound as well as lateral foot dry ulcer.

Endovascular Surgery was done

The right common femoral artery was accessed with an ultrasound guide but the lesion antegrade could not be crossed. Access was carried out through the right ankle posterior tibial artery and a bi-directional approach was used to cross the lesion with wires. Percutaneous old balloon angioplasties were performed on the proximal tibial artery(PTA) and the superficial femoral artery(SFA). Stents were placed in the tp trunk, proximal PTA and SFA.

Conclusion

Patient’s wounds healed within 1 month and he is now ambulant. We managed to save his leg.

Patient Presentation

Patient presented with bilateral PAD and rest pain and weeping from a previous left big toe amputation. He has a background history of diabetes mellitus, hypertension and hypercholesterolaemia.

Procedural Overview

An angioplasty with a drug coated balloon was performed. Multiple wires were used due to tight stenosis and calcifications in the patient’s blood vessels and percutaneous old balloon angioplasty was done to widen the affected blood vessels.

Conclusion

Good blood flow restored as the previously blocked arteries were re-opened. The patient’s wound healed in 4-6 weeks and his lower limb was salvaged.

Patient Presentation

Peripheral arterial disease (PAD) in the legs results from the narrowing and hardening of arteries supplying blood to these areas. When this happens, the legs are unable to receive the necessary nutrients and oxygen that they need, often causing pain. The symptoms of PAD can vary from mild to severe.

Procedural Overview

We provide a minimally invasive endovascular treatment which includes angioplasty and/or stent placement.

In this case, a catheter was inserted into the femoral artery, and a guide wire was threaded through. Sirolimus and Paclitaxel drug-coated balloon catheters were inserted into the [vessel of interest], and inflated. The lumen of the artery was hence widened, increasing blood flow. Peripheral stents were also inserted to provide additional support.

Conclusion

Following the procedure, good inline flow was restored to both feet, thus saving the leg.