Vascular Disease is a disorder of the blood vessels, the circulatory system of the body. Vascular comes from a Latin word for “hollow container”. Any condition that affects this system is considered vascular disease. The diseases range from problems with your arteries, veins, and vessels that carry lymph to disorders that affect how blood flows. A disease can lead to your tissues not getting enough blood, a condition called ischemia, as well as other serious, even life-threatening problems.
The arteries, veins, and lymphatics, like tubes in the body, move blood flow and fluids around. As your heart beats, it pumps blood with oxygen and nutrients to feed your tissues and carry off waste. Arteries move blood away from the heart. Veins return it to your heart.
Lymph vessels and lymph nodes are part of a cleaning system that removes damaged cells from your body. They also help protect your body from infections and cancer. The vessels pick up fluid from tissues and eventually drains back into veins.
St. Louis Heart and Vascular has expertise in vascular disease that is unmatched in the St. Louis area. Below you will find additional information on some types of vascular disease. For an evaluation of how well your vascular system is functioning, please make an appointment with our office at (314) 741-0911.
Peripheral arteries carry blood to other tissues and organs throughout your body. These arteries can have deposits of fat, cholesterol, and other substances on their inside walls. These deposits are known as plaque. Over time, plaque can build up, narrowing the vessel and making it hard for blood to flow.
Eventually, the artery will be so narrow that your body's tissues don't get enough blood. Depending on where it happens, you can have different symptoms and problems. For example:
When you don't have any blood flow to a part of your body, the tissues could die. If that happens, you may lose a limb or an organ.
St Louis Heart and Vascular Physicians can offer multiple options of treatment for peripheral artery disease. Some of the most common treatments include peripheral angioplasty or stenting. Another option is atherectomy, which can cut plaque from the wall of the artery.
An aneurysm is a bulge in the wall of any blood vessel. It's most often seen in the aorta, the main blood vessel leaving the heart. You can get an aortic aneurysm in your chest, where it's called thoracic, or your belly, where it's called abdominal.
Small aneurysms generally pose no threat. But they do put you at risk for other problems:
Because the artery wall is stretched and thinner at the spot of an aneurysm, it's fragile and could burst under stress, like a balloon. The sudden rupture of an aortic aneurysm can be deadly.
Our physicians can evaluate and treat you for this condition. Treatment can include a procedure where a stent graft can be placed inside the aorta to reinforce the wall of the artery and to help keep the damaged area from rupturing. This is called EVAR, endovascular aneurysm repair.
Unlike arteries, veins have flaps inside called valves. When your muscles contract, the valves open and blood moves through the tubes. When your muscles relax, the valves close so the blood only flows in one direction.
Damaged valves may not close completely as your muscles relax. This allows blood to flow in both directions, and it can pool.
Varicose veins are an example of this. They may bulge like purple ropes under your skin. They can also look like small red or purple bursts on your knees, calves, or thighs. These spider veins are caused by swollen small blood vessels called capillaries. At the end of the day, your legs might ache, sting, or swell.
More women than men get varicose veins, and they often run in families. Pregnancy, being very overweight, or standing for long times can cause them.
Because the blood is moving more slowly, it may stick to the sides of the veins, and clots can form.
St. Louis Heart and Vascular offers multiple venous occlusion procedures including EVLT (endovenous laser therapy), Clarivein, Varithena, or Venaseal. Each of these procedures close the veins in the legs which are not working correctly which then allows the blood flow to divert to other leg veins which are performing more appropriately. This treatment decreases leg swelling and pain associated with the swelling. Benefits of venous occlusion procedures include:
A blood clot in a vein inside a muscle, usually in your lower leg, thigh, or pelvis, is a deep vein thrombosis (DVT). If it breaks loose and travels to your lungs, it becomes a pulmonary embolism (PE).
They're usually caused by:
Damaged vein valves or a DVT can cause long-term blood pooling and swelling in your legs, too. That's called chronic venous insufficiency. If you don't do anything about it, fluid will leak into the tissues in your ankles and feet. It may eventually make your skin break down and wear away.
Treatment always includes blood thinners, or anti-coagulants. Sometimes, the clot needs to be removed mechanically by a procedure called thrombectomy which can be performed by a St Louis Heart and Vascular Physician.
Some illnesses make your blood more likely to form clots. You could be born with one, or something may happen to you. These disorders can cause:
Your lymphatic system doesn't have a pump like your blood circulation system does. It relies on valves in the vessels and muscle contractions to keep the lymph moving.
When vessels or nodes are missing or don't work right, fluid can build up and cause swelling, most often in your arms or legs. This is called lymphedema.
Primary lymphedema is rare. It happens when you're born without certain lymph vessels or when you have a problem with the tubes themselves.
A blockage or interruption of the lymphatic system is called secondary lymphedema. It can happen because of:
Treatment for lymphedema may include physical therapist directed massage therapy, compression stockings, and possibly compression pumps. Premier Pharmacy, located at 3550 McKelvey Road in Bridgeton, has a wide variety of sizes and colors of compression stockings.