With this unique test, narrowing of the blood vessels can be detected

Worldwide, the number of people suffering from peripheral vascular disease, i.e. vasoconstriction, is increasing rapidly: in the last ten years, the proportion of patients has increased by more than a quarter, from 200 million to 250 million.

In our country, one percent of middle-aged people are affected by the most common cause of limb amputations, but among people over the age of 65, it can occur in every fifth person. Among others, high cholesterol levels, smoking and diabetes predispose to the development of the disease.

“In recent decades, the number of people suffering from peripheral artery disease and the death rate have been showing a constantly increasing trend, even though if the disease is recognized in time, serious cardiovascular complications can often be prevented. In our country, more than four thousand limb amputations are performed every year. In relation to the number of inhabitants, this is the highest value in Europe, almost twice as many amputations take place in our country as in some Western European countries. In addition to genetic factors, high cholesterol, smoking and diabetes are the most common causes of the disease, and the prevalence of the disease also increases with age, affecting a fifth of the retired age group“, he explains dr. Ferenc Suhai specialist.

Photo: Semmelweis University

The head of the MR laboratory at the Heart and Vascular Clinic in Városmajor warns that one of the first symptoms is when the walking distance decreases, you have to stop during heavy exertion, during a long walk, and muscle fever-like pain appears in the legs, or the wounds heal more difficultly or not at all. lower limb. With these complaints, it is worth contacting a family doctor, who will refer the patient to an angiologist or a vascular surgeon.

Dr. Judit Csőre, candidate radiologist at the Diagnostic Imaging Department of the Heart and Vascular Clinic in Városmajor, adds: the vascular doctor can determine with a physical examination whether there is a severe degree of vasoconstriction and where it has developed, and it is also possible to check with ultrasound whether the vessels are permeable. However, at Semmelweis University’s Heart and Vascular Clinic in Városmajor, a new, unique diagnostic method is also used to map the lower limb arteries. The new type of magnetic resonance angiography (MRA) performed with MR, without contrast material, can also be performed on those for whom, for example, vascular staining with iodinated contrast material is contraindicated due to other existing diseases.

“Since a common complication of vasoconstriction is diabetes and consequent kidney failure, it is extremely important to use diagnostic methods that spare the kidneys in affected patients. For the most commonly used examination methods – such as CT or catheter angiography – the use of contrast material is essential, while examining the entire leg with ultrasound is time-consuming and difficult to implement.” – says dr. Go ahead, Judit. The advantage of the new MRA method is that there is no shortage of contrast material administration or injection in order to obtain a comprehensive picture of the entire lower extremity vascular system.

arteriosclerosis - Semmelweis University

Photo: Semmelweis University

Twenty years ago, an overnight stay in the hospital for a lower extremity angioplasty was common. Thanks to technical progress, there is practically no need for the patient to take off his clothes. With the new type of MRA method, we can image the entire lower extremity vascular system in three dimensions, from the diaphragm to the ends of the toes, which only requires half an hour of lying down.” he explains dr. Go ahead, Judit.

The physical examination is very important, and this new method is a very good alternative for determining the therapy, which means only minimal burden for the patients” he detailed dr. Ferenc Suhai.

At the Heart and Vascular Clinic in Városmajor, the examination can be performed in half an hour with this special, pre-programmed setting on the MR equipment, which is unique in the country.

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Source: Napidoktor by napidoktor.hu.

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