Michael S. Cicchillo, MD
Specialty: Vascular Surgery
- Vascular Surgery
Location and Office HoursYoon Group Heart & Lung Spec
500 Gypsy Ln
Youngstown, OH 44504
- ValleyCare Ohio Northside Medical Center
- ValleyCare Trumbull Memorial Hospital
What are risk factors for aortic disease?
Stephen Hazelrigg, MD, Thoracic Surgery (Cardiothoracic Vascular), answered on behalf of The Society of Thoracic SurgeonsAortic disease risk factors are mostly related to atherosclerosis and include hypertension (or high blood pressure), smoking, high cholesterol, and diabetes. A sedentary and stressful lifestyle may also increase your risk, although these two are probably not quite as important as the first ones listed. There is also a relatively rare genetic disorder that causes a weakening of the wall of the artery. In addition, vasculitis, an inflammatory disease of the vessels possibly caused by infection or an autoimmune disease, can cause a weakening of the artery and aortic disease.
How will my doctor check if my leg cramps are due to a vascular problem?
Roman Nowygrod, MD, Vascular Surgery, answered on behalf of Columbia University Department of Surgery
To check if a patient's leg cramps are due to vascular problems, first I perform a physical exam that includes special attention to any sign of problems with the arteries and veins. I look for any reduction or asymmetry in arterial pulses or history of claudication. This often manifests as repetitive symptoms of cramping brought on by exercise and relieved by rest.
Depending on the individual's health history and physical exam, I may then perform venous or arterial testing, or both. These circulation tests include Doppler and ultrasound, which are completely noninvasive and painless.
When primary care or other doctors have referred a patient to my office, they have already ruled out thyroid disease, kidney disease, heart disease, abnormalities in blood chemistry and other health issues that could be associated with leg cramping. My task is to determine whether vascular disease is involved.
How are vascular diseases treated?
Greenville Health System answered
In recent times, major advances have been achieved in the techniques and devices designed to treat vascular disease that impart minimal adverse physiologic impact on the patient. These devices include specialized angioplasty balloons, stents, stent grafts and atherectomy catheters. Despite these advances, however, open surgical procedures continue to play an important role in vascular disease management. For example, in cases where the extent of arterial disease precludes treatment with an endovascular approach, an open surgical procedure may be the only option available to revascularize the limb or organ. An open surgical procedure also might be preferable to an endovascular approach in cases where a previous endovascular intervention has failed or where the disease pattern seen on arteriography indicates that success with an endovascular intervention would last only a few weeks. In these situations, an open surgical procedure may provide a more successful and durable outcome.
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