Leriche syndrome. Treatment.
Leriche syndrome is a blood flow disorder in the lower extremities that occurs with severe narrowing or complete blockage of the abdominal aorta at the site of its bifurcation into the iliac arteries. Until recently, the pathology was most often diagnosed in men aged 40-60 years. But doctors warn that it has recently become significantly younger and its problem is acute even in men aged 30-35 years. Not everyone is aware of the existence of this disease, so doctors often hear the question: “What is Leriche syndrome and what are the chances of getting it?”. The answers to these questions are in this article.
Causes of development
The treatment of Leriche syndrome depends on the causes of its occurrence. Surgery is inevitable in a disease that has developed against the background of advanced atherosclerosis. The risk of pathology also increases in the presence of
- diabetes mellitus
- persistent hypertension,
- problems with lipid metabolism.
In addition, hereditary factors and smoking play an important role.
Symptoms and diagnosis of Leriche syndrome
The main signs of the described disease are
- intermittent limping;
- problems with potency;
- absence of pulse in the arteries of the lower extremities.
Intermittent limping is the main symptom of Leriche syndrome. Patients may also experience severe pain in the lumbar and buttocks, hips, calf muscles, and ankles when walking.
Doctors diagnose Leriche syndrome using the following examination methods
- Ultrasound examination of the vessels of the lower extremities;
- MRI of the lower extremities;
- contrast angiography.
Treatment of Leriche syndrome
Treatment of this disease is carried out therapeutically and surgically. In case of severe aortic lesions, surgery is inevitable, as gangrene develops rapidly in this disease, and therefore doctors are forced to amputate the lower limb. It is possible to perform endarterectomy (removal of the substrate that causes the blockage), prosthetics (replacement of the affected part of the vessel with a healthy one), bypass surgery (creation of a path to restore blood flow bypassing the diseased area), stenting (placement of a special device that does not allow the artery to fall).
Does the surgery guarantee a complete cure of Leriche syndrome? Treatment continues after surgery - the patient must take medications that prevent blood clots. Such therapy can last for life.
Surgical treatment of Leriche syndrome does not always lead to a complete recovery. Thus, after amputation, the patient becomes disabled. If the patient does not follow the recommendations of doctors (for example, continues to smoke), the disease can recur with a fatal outcome.
You can be examined for atherosclerosis of the lower extremities and determine the risk of developing Leriche syndrome only at a visit to a specialist. You can make an appointment for a consultation on our website https://dobrobut.com/.
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