Doctors at Mumbai’s Wockhardt hospital saved the right arm of Mr Shantilal Jain, 65, who suffered from upper limb artery blockage in the right arm. A team of doctors led by Cardiologist Dr Ravi Gupta diagnosed the problem through colour doppler followed by angiography.
Mr Jain had diabetes and was on kidney dialysis post-bypass, with multiple health problems. He came with a complaint of bluish discoloration in the right palm.
Dr Gupta said that a hard wire and balloon was used to open an artery so blood flow started. In this procedure, it was not only important to save the limb but also AV Fistula which was necessary for his regular dialysis.
Dr Gupta further added that peripheral artery disease (PAD) in the arm implies decreased blood flow to the arm due to a blocked artery. This can result in arm fatigue, pain, and weakness, particularly with use.
PAD is most commonly associated with the legs and feet, although it does involve conditions triggered by the blockage of blood flow in the blood vessels of both the arms and hands.
Doctors call this form of PAD "upper extremity PAD." It is much less common than PAD of the legs and feet, estimated to affect about 10 percent of the population.
“There are two arteries which supply blood to the hand. The Radial Artery was already used for AV fistula and draining all the blood in the fistula itself so not supplied in the hand (steal Phenomena),” reads the press release issued by Wockhardt hospital.
The ulnar artery had 100% long lasting very calcified blockage. So, there was no blood flow to the right hand. As left radial artery was used for bypass, there was no option for another AV fistula.
Arm artery disease is a circulatory disorder where arteries in the arm are blocked or narrowed, unable to carry oxygen-rich blood into the arms. It is caused due to several factors such as high blood cholesterol, sedentary lifestyle, diabetes, high BP, tobacco consumption, etc.
As the disease develops, one may experience bluish discoloration of the skin. These symptoms are caused by the narrowed arteries' inability to supply the necessary oxygen to the muscles. This condition can lead to increased risk of amputation, heart attack, and stroke.