Peripheral Artery Disease of the Lower Extremities

Dre Sotiria Mastoraki, MD, PhD

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Peripheral artery disease (PAD) is a chronic vascular pathology primarily caused by atherosclerosis. This process leads to a narrowing or occlusion of the arteries, reducing blood flow to the lower limbs and causing tissue ischemia.

Vascular surgeon Sotiria Mastoraki, based in Maroussi, possesses the expertise for the evaluation and management of PAD, offering personalized care.

Causes and Risk Factors

  • Smoking
  • Diabetes mellitus
  • Hypertension
  • High cholesterol
  • Obesity
  • Sedentary life
  • Age over 65
  • Family history of cardiovascular disease

Symptoms

  • Pain or cramps in the legs during walking (intermittent claudication)
  • Weakness or fatigue of the lower limbs
  • Cold sensation or numbness in the feet
  • Slow healing of wounds
  • Changes in skin color

Diagnosis

Diagnosis is performed via:

  • Clinical examination
  • Ankle-Brachial Index (ABI)
  • Color Doppler Ultrasound (Triplex)
  • CT Angiography or MR Angiography

Treatment

Treatment is generally conservative (lifestyle changes, medication). In severe cases, invasive treatments such as angioplasty or surgical bypass are recommended.