What are the options for treating PAD in Diabetes?

Mr Joseph Shalhoub, Consultant Vascular and Endovascular Surgeon talks about things to look after after angioplasty. He talks about medication which may have changed. He also talks about checking the puncture site where the angioplasty was done from for any bleeding or swelling.

Mr Joseph Shalhoub, Consultant Vascular and Endovascular Surgeon talks about whether angioplasty or bypass would be the right choice for you if you have a foot ulcer of gangrene.

Dr Sunthar Kanaganayagam, Consultant Cardiologist at Imperial College London, talks about how narrowing develop in the arteries to the heart (Coronary Artery Disease). He talks about how these narrowing develop and what problems they can cause for instance angina. Then he talks about treatment for Coronary Artery Disease ranging from tablet therapy to Coronary Angioplasty (balloon-ing and inserting Stents) to surgical bypass surgery.

JR, a 62 year old male, presented with crescendo angina (increasing frequency of chest pain – acute coronary syndrome). His past medical background included chronic kidney disease, Type 2 Diabetes Mellitus, myocardial infarction (heart attack) and a coronary artery bypass graft (CABG). He was offered a coronary angiogram through the right femoral artery. The test revealed significant disease within the right coronary artery. The lesion was predilated with the PT XS balloon (balloon angioplasty) and Resolute Onyx 3.5x26mm (stent) was implanted concluding with a good result.

Mr AD was suffering from symptoms of angina (chest pain due to an inadequate blood supply to the heart). He had a coronary angiogram that revealed narrowing in blood vessel supplying the heart that was causing his symptoms. It demonstrated severe narrowing of the left circumflex coronary artery. He went on to have this treated by percutaneous (through the blood vessel in the right arm) coronary angioplasty. This was performed by relieving the narrowing with balloons initially followed by deployment of two drug eluting stents (3mm and 2.5mm diameter) to his left circumflex coronary artery. The stents were optimised with intravascular ultrasound.

This gentleman has kindly agreed to share his story about the treatment for coronary artery disease. He underwent heart bypass, which is an open surgery on his heart.