{"id":9267,"date":"2023-01-11T10:41:06","date_gmt":"2023-01-11T01:41:06","guid":{"rendered":"https:\/\/cardiovascularcenter.luke.ac.jp\/treatments\/pad\/"},"modified":"2025-04-03T13:55:30","modified_gmt":"2025-04-03T04:55:30","slug":"pad","status":"publish","type":"page","link":"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/pad\/","title":{"rendered":"Peripheral Artery Disease"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9267\" class=\"elementor elementor-9267 elementor-3737\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3acbe548 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"3acbe548\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2f7cf866\" data-id=\"2f7cf866\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2e0bc9fa uael-heading-align-center elementor-widget elementor-widget-uael-advanced-heading\" data-id=\"2e0bc9fa\" data-element_type=\"widget\" data-widget_type=\"uael-advanced-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div class=\"uael-module-content uael-heading-wrapper\">\n\t\t\t\t\t\t\n\t\t\t<h1 class=\"uael-heading\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"uael-heading-text elementor-inline-editing uael-size--default\" data-elementor-setting-key=\"heading_title\" data-elementor-inline-editing-toolbar=\"basic\">Peripheral Artery Disease<br>Arteriosclerosis Obliterans of the Lower Extremities<\/span>\n\t\t\t\t\t\t\t<\/h1>\n\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5dabd3eb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5dabd3eb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-21ae941b\" data-id=\"21ae941b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a0e7584 elementor-align-left elementor-widget elementor-widget-breadcrumbs\" data-id=\"2a0e7584\" data-element_type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span id=\"breadcrumbs\"><span><span><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/\">Home<\/a><\/span><\/span><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-77c6438e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"77c6438e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-70d650b0 elementor-hidden-mobile\" data-id=\"70d650b0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element 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href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/overview\/\" class=\"elementor-item\" tabindex=\"-1\">About<\/a><\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-9445\"><a href=\"\/en\/treatments\" class=\"elementor-item\" tabindex=\"-1\">Medical Services<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9446\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/staff\/\" class=\"elementor-item\" tabindex=\"-1\">Our Team<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9447\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/outpatient_service\/\" class=\"elementor-item\" tabindex=\"-1\">Outpatient Schedule<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9448\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/consultation\/\" class=\"elementor-item\" tabindex=\"-1\">Consultations<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9449\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/sdm\/\" class=\"elementor-item\" tabindex=\"-1\">SDM Clinic<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-9450\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/frequently_asked_questions\/\" class=\"elementor-item\" tabindex=\"-1\">FAQ<\/a><\/li>\n<li class=\"menu-item wpml-ls-slot-17 wpml-ls-item wpml-ls-item-ja wpml-ls-menu-item wpml-ls-first-item wpml-ls-last-item menu-item-type-wpml_ls_menu_item menu-item-object-wpml_ls_menu_item menu-item-wpml-ls-17-ja\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/\" title=\"Switch to \u65e5\u672c\u8a9e\" aria-label=\"Switch to \u65e5\u672c\u8a9e\" role=\"menuitem\" class=\"elementor-item\" tabindex=\"-1\"><span class=\"wpml-ls-native\" lang=\"ja\">\u65e5\u672c\u8a9e<\/span><\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-389afa2\" data-id=\"389afa2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d875f3a elementor-widget elementor-widget-text-editor\" data-id=\"4d875f3a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Peripheral artery disease is a condition where arteries narrow due to atherosclerosis, resulting in poor blood flow mainly in blood vessels other than those of the heart (coronary arteries).<\/h4><h4>The majority of cases involve arteriosclerosis obliterans of the lower extremities (particularly when peripheral artery disease affects the legs), which can cause symptoms such as numbness and coldness in the feet, as well as skin peeling and ulcers.<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e63f973 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"2e63f973\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-33d16f84 elementor-widget elementor-widget-heading\" data-id=\"33d16f84\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What are the symptoms?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a6675b4 elementor-widget elementor-widget-text-editor\" data-id=\"1a6675b4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Generally, arteriosclerosis obliterans of the lower extremities is classified into four stages according to the Fontaine classification. It doesn&#8217;t necessarily progress from stage I to IV, and sometimes ulcers may form without prior notice.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4b97d9b0 elementor-widget elementor-widget-text-editor\" data-id=\"4b97d9b0\" data-element_type=\"widget\" id=\"cardiogram\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Stage I: Asymptomatic (numbness, cold sensation)<\/h4><p>Initially, there may be no symptoms, but caution is advised if you start feeling uneasy during long walks.<\/p><p> <\/p><h4>Stage II: Intermittent claudication<\/h4><p>Pain occurs in the legs (especially in the calves) while walking, making it difficult to continue, but it subsides after resting for a while. This symptom is called &#8220;intermittent claudication.&#8221;<\/p><p> <\/p><h4>Stage III: Rest pain<\/h4><p>As the condition progresses, pain may occur even at rest.<\/p><p> <\/p><h4>Stage IV: Ulcers\/Gangrene<\/h4><p>With further progression, blood flow to the feet may cease, leading to difficult-to-heal wounds (ulcers) on the feet, tissue death (necrosis) of the toes, and in some cases, the need for amputation of the lower limbs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c1cbc06 elementor-widget elementor-widget-image\" data-id=\"1c1cbc06\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"450\" height=\"300\" src=\"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/01\/\u62b9\u6d88\u52d5\u8108\u75be\u60a3_1.png\" class=\"attachment-medium size-medium wp-image-8915\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10eb2b6 elementor-widget elementor-widget-text-editor\" data-id=\"10eb2b6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In cases of severe symptoms like Stage III and IV, with high risk of limb amputation due to tissue loss, nerve damage, or infection, the condition is called chronic limb-threatening ischemia (CLTI). This may require earlier consultation for treatment. (Previously, this was referred to as critical limb ischemia.)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-488c0a51 back-to-top elementor-widget elementor-widget-heading\" data-id=\"488c0a51\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#link-list-diagnose\">TOP<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b655f3c elementor-widget elementor-widget-spacer\" data-id=\"b655f3c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8422660 elementor-widget elementor-widget-heading\" data-id=\"8422660\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Who is at risk?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-27d5bbf4 elementor-widget elementor-widget-text-editor\" data-id=\"27d5bbf4\" data-element_type=\"widget\" id=\"artery-ct\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>It is known that smokers, people with diabetes, and those with kidney problems requiring dialysis are at higher risk of developing arteriosclerosis obliterans.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a798a14 elementor-widget elementor-widget-spacer\" data-id=\"a798a14\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce85d45 elementor-widget elementor-widget-heading\" data-id=\"ce85d45\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How is it diagnosed?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90be378 elementor-widget elementor-widget-text-editor\" data-id=\"90be378\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><span style=\"color: inherit; font-family: inherit; font-size: 17px; font-weight: bold;\">Medical interview, visual examination, and palpation<\/span><\/h4><p>We confirm if there are any concerning symptoms as mentioned above through conversation. The progression of atherosclerosis can be somewhat determined by observing skin color and feeling the pulse in the feet.<\/p><h5><strong> <\/strong><\/h5><h5><strong>Functional tests: ABI, etc.<\/strong><\/h5><p>ABI stands for Ankle Brachial pressure Index. It&#8217;s a test that measures blood pressure in the feet and arms simultaneously to compare the foot blood pressure to the arm blood pressure. If the ABI is extremely low (below 0.9) or extremely high (above 1.4), poor blood flow to the feet is suspected. Depending on the condition, we may also perform tests to measure toe pressure (TP) or skin perfusion pressure (SPP) to evaluate blood flow to the skin.<\/p><h5> <\/h5><h5>Imaging tests: Ultrasound, CT, MRI, angiography, etc.<\/h5><p>To determine which blood vessels are affected, the extent of the condition, and its progression, we need to perform ultrasound, CT, or MRI scans. In cases where more accurate information is required, we may conduct an angiography, which involves injecting contrast medium into the leg&#8217;s blood vessels through a catheter and taking X-ray images.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a65e88 back-to-top elementor-widget elementor-widget-heading\" data-id=\"7a65e88\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#link-list-diagnose\">TOP<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4b6fc4 elementor-widget elementor-widget-spacer\" data-id=\"a4b6fc4\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e40d861 elementor-widget elementor-widget-heading\" data-id=\"e40d861\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How is it treated?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2bcbd10 elementor-widget elementor-widget-text-editor\" data-id=\"2bcbd10\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Treatment can be broadly divided into medical and surgical approaches. In cases of chronic limb-threatening ischemia (CLTI), we consult with various other departments such as infectious diseases, dermatology, and plastic surgery to develop a highly individualized treatment plan for each patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59fefbe8 elementor-widget elementor-widget-text-editor\" data-id=\"59fefbe8\" data-element_type=\"widget\" id=\"spect\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Medical treatment<\/h4><h5>Conservative treatment (drug therapy and exercise therapy)<\/h5><p>We may use antiplatelet drugs (blood thinners), statins (cholesterol-lowering drugs) to prevent the progression of atherosclerosis, and vasodilators.<\/p><p>Additionally, exercise therapy is recommended, involving walking at an intensity that causes claudication, resting when pain becomes moderate, and repeating this process. <span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Serif; font-size: var( --e-global-typography-text-font-size ); font-weight: var( --e-global-typography-text-font-weight );\"><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Serif; font-size: var( --e-global-typography-text-font-size ); font-weight: var( --e-global-typography-text-font-weight );\">It is recommended to do this for 30-60 minutes per session<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Serif; font-size: var( --e-global-typography-text-font-size ); font-weight: var( --e-global-typography-text-font-weight );\">,<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Serif; font-size: var( --e-global-typography-text-font-size ); font-weight: var( --e-global-typography-text-font-weight );\"> three times a week for at least three months.<\/span><\/span><\/p><p> <\/p><h5>Catheter-based revascularization (EVT: endovascular therapy\/endovascular treatment)<\/h5><p>Similar to heart vessel treatments, we use catheters to widen narrowed blood vessels with balloons or place stents. However, the choice of stent or balloon treatment is determined by specialists based on the blood vessel&#8217;s condition and shape.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-785b78a8 elementor-widget elementor-widget-spacer\" data-id=\"785b78a8\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-33c49ad elementor-widget elementor-widget-text-editor\" data-id=\"33c49ad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Surgical treatment<\/h4><h5>Thromboembolectomy<\/h5><p>This method involves directly cutting into the artery with poor blood flow and removing the causative lesion. It is often performed for lesions in the groin (inguinal region) or behind the knee (popliteal region) where stent treatment (endovascular therapy) is not preferred.<\/p><p> <\/p><h5>Bypass surgery<\/h5><p>This method creates a detour (bypass) to replace the artery with poor blood flow. The bypass material can be the patient&#8217;s own vein or an artificial blood vessel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2dd1a44f elementor-widget elementor-widget-image\" data-id=\"2dd1a44f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"500\" height=\"243\" src=\"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/01\/\u672b\u68a2\u52d5\u8108\u75be\u60a3_2-500x243.jpg\" class=\"attachment-medium size-medium wp-image-8916\" alt=\"\" srcset=\"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/01\/\u672b\u68a2\u52d5\u8108\u75be\u60a3_2-500x243.jpg 500w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/01\/\u672b\u68a2\u52d5\u8108\u75be\u60a3_2-768x373.jpg 768w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/01\/\u672b\u68a2\u52d5\u8108\u75be\u60a3_2.jpg 1024w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dbcf673 elementor-widget elementor-widget-spacer\" data-id=\"dbcf673\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f33c80a elementor-widget elementor-widget-text-editor\" data-id=\"4f33c80a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>At our hospital, we hold daily conferences between the cardiovascular medicine and cardiovascular surgery departments. The choice of treatment method needs to be determined comprehensively, considering the patient&#8217;s overall condition, the location and length of the lesion, and the state of the legs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-767586c7 elementor-widget elementor-widget-text-editor\" data-id=\"767586c7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"http:\/\/spssvr.smile.net:10000\/sites\/G5PortalMenu\/SitePages\/PortalMenuTop.aspxhttps:\/medicalnote.jp\/contents\/190628-001-WK\" target=\"_blank\" rel=\"noopener\">Please refer to this site created by Medical Note<\/a> as well.<br>For those who want more specialized information, <a href=\"https:\/\/www.j-circ.or.jp\/cms\/wp-content\/uploads\/2022\/03\/JCS2022_Azuma.pdf\" target=\"_blank\" rel=\"noopener\">there is a guideline revised by the Japanese Circulation Society in 2022<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-370df7c elementor-widget elementor-widget-text-editor\" data-id=\"370df7c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>There are also many other sites created by various organizations, so we recommend using them comprehensively.<br> <a href=\"https:\/\/www.jsvs.org\/common\/masyo\/\" target=\"_blank\" rel=\"noopener\">Japanese Society for Vascular Surgery: What is Peripheral Artery Disease?<\/a><br> <a href=\"https:\/\/www.otsuka.co.jp\/health-and-illness\/peripheral-artery-disease\/about\/#:~:text=%E6%9C%AB%E6%A2%A2%E5%8B%95%E8%84%88%E7%96%BE%E6%82%A3%EF%BC%88PAD%EF%BC%89%E3%81%A8,%E3%82%80%E3%82%88%E3%81%86%E3%81%AB%E3%81%AA%E3%81%A3%E3%81%9F%E3%82%8A%E3%81%97%E3%81%BE%E3%81%99%E3%80%82\" target=\"_blank\" rel=\"noopener\">Otsuka Pharmaceutical: What kind of disease is PAD?<\/a><br> <a href=\"https:\/\/www.bostonscientific.com\/jp-JP\/health-conditions\/pad\/pad-01.html\" target=\"_blank\" rel=\"noopener\">Boston Scientific: Do you know about the disease called PAD?<\/a><br> <a href=\"https:\/\/www.nhk.or.jp\/kenko\/disease-358\/\" target=\"_blank\" rel=\"noopener\">NHK Health Channel: Peripheral Artery Disease (Arteriosclerosis Obliterans)<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f0757e elementor-widget elementor-widget-image\" data-id=\"2f0757e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/02\/DSC_7671-Edit-1024x683.jpg\" class=\"attachment-large size-large wp-image-8936\" alt=\"\" srcset=\"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/02\/DSC_7671-Edit-1024x683.jpg 1024w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/02\/DSC_7671-Edit-500x333.jpg 500w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/02\/DSC_7671-Edit-768x512.jpg 768w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/02\/DSC_7671-Edit-1536x1024.jpg 1536w, https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/02\/DSC_7671-Edit-2048x1365.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25a08a97 back-to-top elementor-widget elementor-widget-heading\" data-id=\"25a08a97\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<span class=\"elementor-heading-title elementor-size-default\"><a href=\"#link-list-treatment\">TOP<\/a><\/span>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-19c363cd elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"19c363cd\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2680ebf9\" data-id=\"2680ebf9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6abaddd0 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"6abaddd0\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-shrink\" href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-arrow-circle-left\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Return to Main Diseases<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Peripheral Artery DiseaseArteriosclerosis Obliterans of the Lower Extremities Peripheral artery disease is a condition where arteries narrow due to atherosclerosis, resulting in poor blood flow mainly in blood vessels other than those of the heart (coronary arteries). The majority of cases involve arteriosclerosis obliterans of the lower extremities (particularly when peripheral artery disease affects the [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":9259,"menu_order":12,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9267","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Peripheral Artery Disease - \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/treatments\/pad\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Peripheral Artery Disease - \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc\" \/>\n<meta property=\"og:description\" content=\"Peripheral Artery DiseaseArteriosclerosis Obliterans of the Lower Extremities Peripheral artery disease is a condition where arteries narrow due to atherosclerosis, resulting in poor blood flow mainly in blood vessels other than those of the heart (coronary arteries). 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