Take Steps to Learn About P.A.D. is a national awareness campaign to increase public and health care provider awareness about peripheral arterial disease.

1. Limb ischemia

2. Vessels of the Body

3. Differentiate between acute and
chronic ischemia

4. Arm ischemia

5. Acute limb Ischaemia
• Pain
• Pallor
• Pulseless
• Parasthesia
• Paralysis

7. Leg artery embolism
• Sudden
• No Hx of PVD
• Opposite limb normal
• Identifiable source
• 80% AF
• 10% post MI
• 10% aneurysm

8. Arm embolism

9. Femoral Embolectomy

10. Arm embolectomy

11. Faciotomy

12. Acute limb Ischaemia
Skin > 48hrs
Permanent muscle damage > 6hrs
Nerve damage > 30 mins

13. Late presentation

14. This is what we don’t want

15. Acute limb Ischaemia- Thrombolysis

16. Acute on chronic leg ischemia

17. Acute on chronic leg ischemia

18. Left Iliac stenting

19. Left Femoropopliteal graft

21. What is this ?

22. Iatrogenic

23. Post Femoral line

25. Post PTCA

26. Arterial line

27. Aneurysm

29. Popliteal aneurysm

30. Cervical rib

31. ICU

32. Trauma

33. Aortic trauma

34. Aortic injury

35. Other diseases

36. Distal arterial occlusion

38. Chronic ischemia
58 M, smoker, non DM, HT, CAD, 6 month history of rest pain, Mild RF

39. Proximal arterial occlusion
MRA

40. Hybrid procedure
Fem Fem cross overRight Iliac stenting

41. Varicose veins

42. Laser

43. Venous ulcer treatment with laser

44. Venous Gangrene

45. Act Fast

46. What should be done ?

47. Take Steps to Learn About P.A.D. is
a national awareness campaign to
increase public and health care
provider awareness about peripheral
arterial disease
Stay in Circulation