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What is Aortoiliac Occlusive Disease?
Aortoiliac occlusive disease ( also known as AIOD ) is a medical condition characterised by blockage of the aorta ( which is the most authoritative blood watercraft in the organic structure ) or the iliac arteries . The iliac arteria are the arm of the aorta which supplies blood line to the low portion of the consistency including the lower limbs and other harmonium in the pelvic part . The iliac arterial blood vessel branches around the level ofbelly buttonbefore supply the above mentioned area . It has been seen that the iliac artery and the aorta are the second most vulgar origin vas to be affected by peripheral arterial disease ; the most ordinarily affected one being the blood vessels of the second joint . Peripheral arterial diseaseaffects around 12 to 20 % of the universe aged above 65 year . In medical term it is also recognise as Lerich ’s syndrome or Lerich syndrome . It is qualify by a classic triad of :
Symptoms of Aortoiliac Occlusive Disease
symptom of aortoiliac occlusive disease are varied in nature . Some patients may have multiple symptom while some may not have any symptoms but still have aortoiliac occlusive disease . The come after symptoms are known to be link up with aortoiliac occlusive disease :
Pain and Discomfort along with Cramping while walk : There may be infliction and discomfort in the low portion of the body associated with generalized fatigue and weakness . The symptom are balmy to moderate when palpate over the realm of bum , thighs or sura . As the disease progresses , the affected person may see pain or hamper after walking for poor distances .
pain in the neck at Rest : The severely progressed case , one pain sensation experience pain in the down leg including toes while at rest . There may be sensitivity to temperature changes , coolness or apathy in the lowly branch . In extreme eccentric , it may be associated with soreness or wounds on legs and feet and even gangrene in some cases , which if entrust untreated , can lead to tissue demise in the foot .
Possible Causes of Aortoiliac Occlusive Disease
The most common causes of aortoiliac occlusive disease are discussed below :
Atherosclerosis : Atherosclerosis(also cognise as hardening of the artery ) is one of the most usual drive of aortoiliac occlusive disease . Atherosclerosis is commonly due to excessivesmoking , gamey cholesterol , elevated blood pressure , obesity , or genetic inheritance .
Inflammatory Conditions make Aortoiliac Occlusive Disease : Some inflammatory condition such as Takayasu ’s arterial blood vessel may lead to site which may get mental block in the arteries .
Exposure to Radiation : Excessive picture to radiation may lead to excitement in the wall of the arterial blood vessel lead to blockage in them .
Diagnosis of Aortoiliac Occlusive Disease
Aortoiliac occlusive disease is treated by a vascular surgeon . A thoroughgoing case story is receive by a vascular surgeon followed by a physical examination . symptomatic test include ankle brachial index test and duplex ultrasonography work . In some cases , CT angiogram , MR angiogram or catheter directed angiogram are prevail . dissimilar types are used to detect the severity and location of blockage . In cases of CT or MR angiogram , the dye is delivered through IV style . In cases of catheter angiogram , the dyestuff in injected using a catheter inserted in an arteria .
Treatment and Management of Aortoiliac Occlusive Disease
In most of the subject , the discussion sense modality includes the following :
In most of the font , the result of the treatment is long lasting and good ; but needs trace up at regular separation . It is advised to conform to up every 3 to 6 month for the first class and every 6 to 12 month after that . In cases , where a prosthetic implant has been grafted , a lifelong peril of developing grafting transmission be . Besides these , appropriate oral prophylaxis is recommended prior to any dental treatment , flexible sigmoidoscopy , urologic instrumentation or any other gastro - enteric operative procedures .
Prevention of Aortoiliac Occlusive Disease
Aortoiliac occlusive disease is affiliate with insalubrious modus vivendi and can be prevent by living a healthy life sentence . Leading an active life with being physically combat-ready and unconstipated exercises can serve in forestall this condition . Regular physical activeness can help in direction of increase cholesterol level , elevated rake pressure and increased descent glucose floor . refrain from smoke is also good . consider inscribe in smoke cessation program which can help is quit smoking if you are ineffectual to do it on your own or if there is a relapse . Besides this , following a hefty balanced diet is also all-important . consider follow a humbled avoirdupois dieting .
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