Doctor insights on:
Arterial Insufficiency Vs Venous Insufficiency
Sort of: Arterial insufficiency is not a primary cause of edema, however, patients with very severe arterial insufficiency manifesting as ischemic rest pain will often keep their feet in a dependent position (sitting). This prolonged dependency may secondarily produce edema. David Fox, MD, FACS, RPVI www. FoxVein. ComSee 1 more doctor answer
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Can both arterial insufficiency and venous insufficiency cause a cold leg? How are the two distinguished?
No: Critical arterial insufficiency causes a cold, cyanotic, pulseless, painful leg. Venous insufficiency causes a swollen leg with dilated veins. The color can be normal or plethoric (reddish). If phlebitis is present, the leg may be painful, but uncomplicated venous insufficiency doesn't necessarily hurt. You mention knee swelling - do you have an effusion? If so, this is not vascular.
Both: They are separate entities and if you have them you may need to get urgent evaluation. However, you are better off making appointment with a vascular specialist if you can wait and it is not emergent.
Significant: Chronic venous stasis (cvi) is a result of long standing venous insufficiency due to malfunctioning of the valves of either the superficial, deep or both systems of veins. Chronic arterial insufficiency is due to long standing decrease arterial blood flow into either the legs or arms. Venous problems cause leg swelling and discoloration while arterial problems cause pain and even gangrene.See 2 more doctor answers
Which type of erectile dysfunction is worse? Ed due to arterial insufficiency or ED due to venous leak?
Eh...: In the old days, the answer would be simple: arterial insufficiency, because there was no meaningful way to increase flow without penile injections, but leak could often be addressed with a penile ring. Now, both are fairly readily treatable by a competent urologist. See one to determine the causes and to what extent the various solutions can help.
Please advise what is the difference between peripheral arterial "insufficiency" vs. Peripheral arterial occlusive disease?
Synonyms: They're different names for the same condition.
If arterial insufficiency is questioned in relation to the fibular/peroneal artery, how should it be investigated?
Ankle-brachial index: The ankle-brachial index (ABI) result is used to predict the severity of peripheral arterial disease (PAD). A slight drop in your ABI with exercise means that you probably have PAD. This drop may be important, because PAD can be linked to a higher risk of heart attack or stroke. See your physician for discussion. Http://circ. Ahajournals. Org/content/94/11/3026.full
I discoveredthat my ed condition is caused by arterial insufficiency on the left side of my penis. The right side is ok. Is pentoxifyline a lower cost alternative? How about shockwave treatment?
Lower than what?: Lower cost than what? Pentoxiflyline 400 mg 3X a day as a generic meds cost $120 a month and is indicated for claudication, not ED. I'm not aware that either pentoxifyline or shock wave treatment is effective. How was the diagnosis made? If you had an arteriogram, I suspect angioplasty is your best bet, but at your age, 37, I suspect either you have small vessel disease or the dx is wrong.
How do they test for arterial insufficiency in a leg where the calf muscle cramps or reflects oxygen insufficiency, when there is a pulse at the foot.
Ultrasound first: First, a doppler exam of your pulses is performed. There are 3 major arteries below the knee. If 1 or more are missing or of poor amplitude, an arteriogram is perfomed. Sometimes at the same sitting, a narrowed artery can be dilated.
Is it safe to use Benadryl (diphenhydramine) daily if you have peripheral vascular/artery disease or chronic venous insufficiency?
It Is Safe: Benedryl is an antihistamine which block histamine release. It is safe to use with pad or chronic venous insufficiency. Always remember though that if you are multiple medications sometime there can be an interaction between them so check with your doctor or pharmacist.See 2 more doctor answers
No: If you have discoloration, your venous insufficiency is serious and you are at risk of developing a leg ulcer, even if your legs feel fine. Elevate your legs. Wear compression stockings daily. See a phlebologist or vein specialist. Phlebology.Org for a referral. Treatment is office based and under and hour. Covered by almost all insurance.See 2 more doctor answers
Close bad veins: When superficial veins are insufficient, they are structurally broken. The vein walls are too stiff and don't have enough elastic in them. Vein valves that keep blood from flowing backwards are broken too. Nothing works right in these veins and we don't the technological ability to fix them yet. So we remove them. This can be done with surgery, sclerotherapy, and/or thermal ablation (laser/rf).See 4 more doctor answers
See vein specialist: Your best choice is to see a vein specialist and be evaluated. Then you can get a recommendation that is specifically tailored to your needs. You will need a venous ultrasound evaluation to see if you have any underlying vein trouble that isn't visible at the surface. If you do and you have symptoms, treatment should be considered. Otherwise, compression stockings might be considered.See 4 more doctor answers
Vein treatment menu: Venous insufficiency in the superficial system consists of endovenous thermal, chemical or mechanical abletion of saphenous veins. Smaller branches are eliminated by injections or surgical removal (phlebectomy). Deep veins are treated by compression. Conservative treatment is compression, elevation, weight loss or pain medication.
Chronic venous insuf: Chronic venous insufficiency is due to the back flow of blood in the veins usually in the lower extremities. Back flow is usually protected by valves in the veins that become faulty over time allowing blood to pool. This increases the pressure of blood in the veins and fluid (and a small amount of blood) leaks into the tissues causing swelling, pain, inflammation, and on the skin ulcerations.See 1 more doctor answer
What is the trouble chronic venous insufficiency and what do people have to do to prevent it early on?
CVI: Terminology can be confusing. There is venous insufficiency (vi), or venous reflux as dr. Gotvald said, and there is chronic venous insufficiency (cvi). Cvi indicates that you have had severe reflux for a long time and there is already damage. On the other hand, although reflux is genetically determined and no preventable, if you have vi prevention of progression to cvi might be possible.See 2 more doctor answers
CVI: Venous insufficiency is described as the reduced ability of the veins to provide an adequate return of blood back to the heart from the lower extremities. The fault typically is with the walls and/or the valves located in the veins of the legs. The failing valves allow a back flow of blood which increase the pressure on the vein walls thus resulting with varying degrees of pedal edema.See 1 more doctor answer
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