Monday, January 25, 2021

Drug- Coated Balloon technique can help save your limbs

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Jaipur, March 18, 2019: In a bid to address the problem of the growing number of limb losses in the country, LoveYourLimbs campaign was launched today at Apex Hospital. A campaign that spreads awareness about limb loss and the treatment that can help save the limbs. According to W.H.O, there are more than one million amputations performed every year, with up to 70% of these amputations related to diabetes. Moreover, as per other estimates, below the knee amputations are the most common, representing 71% of dysvascular amputations. According to a report 185,000 people undergo amputation each year, meaning 300 to 500 amputations are performed every day[1]

Given these statistics, leading doctors at the launch emphasized on the need for adopting Drug- Coated Balloon (DCB)technique for treating Peripheral Artery Disease (PAD) which can help patients save their limbs and avoid amputation. The discussion was headed by Dr. Sven Braunlich, a senior physician from the University Hospital Leipzig, Germany. Dr. Aadarsh Kabra, Vascular and Endovascular Surgeon, Apex Hospital and Dr. Praveen Singhal, Consultant Interventional Radiology, Apex Hospital were also present at this discussion along with other doctors.

Peripheral Artery Disease (also known as peripheral arterial disease) is the narrowing of the peripheral arteries which causes reduced blood flow to the legs, stomach, arms and head. This reduced blood flow results in severe conditions and if not treated at an early stage results in the surgical removal of the limb i.e amputation. Thus, doctors recommend below the knee surgeries like Drug- Coated Balloon which have proven to be efficacious in treating this condition.

PAD is most common with patients suffering from diabetes and they show extreme pain usually in leg while walking. With 69.2 million diabetics in the country, of these 36 million not even diagnosed, India tops the world ranking in terms of a maximum number of people living with the diabetes. This increasing number of diabetes cases is also leading to a rise in the number of diabetic foot patients which is a matter of grave concern.

Text Box: Symptoms of diabetic foot- 
•	extreme pain in legs while walking 
•	loss of feeling
•	numbness or tingling sensation
•	burning sensation
•	skin discoloration
•	red streaks
•	blisters or other wounds without pain

Dr. Sven Braunlich, Senior Physician, Division of Interventional Angiology, University Hospital Leipzig, Germany said, “The most common form of Peripheral Artery Disease (PAD) is diabetic foot. Due to uncontrolled diabetes and poor blood flow, patients develop infection, ulcer in the leg or foot. If left untreated, it can result in amputation of limb. The need of the hour is the adoption of Drug-CoatedBalloon (DCB)technique while treating these patients. DCB is an interventional technology that preventsthe abnormal narrowing of the arteries and prohibits cell division, limiting the risk of blockage re-growth after treatment. I, as a healthcare professional, who regularly sees such cases, prefer this technique due to its ease of use.”

Dr. Aadarsh Kabra, Vascular and Endovascular Surgeon, Apex Hospital said,“A significant proportion of patients are suffering from diabetic foot in India. Drug- Coated Balloon technique has emerged as an effective technology for treating these patients and saving their limbs. This technique has certainly shown improved and better patient results. Additionally, initiatives like LoveYourLimbs campaign are an encouraging endeavour to educate people on the need for correct and timely treatment that can help them save their limbs.”

The healthcare specialists also threw light on the successful patient case studies who were underwent Drug-CoatedBalloon technique.

About Drug-Coated Balloon technique

In Drug-Coated Balloon(DCB) technique, a device with a small balloon on its tip is inserted through an artery in the leg and is advanced through the arteries until it reaches the narrowed area. The balloon is then inflated which flattens the plaque against the wall of the artery, opening the artery and restoring blood flow. Then the balloon is deflated and removed from the body. Once that is complete, a new balloon, which is coated with an anti-proliferative medication, is inserted through the same artery in the leg and is advanced through the arteries until it reaches the previously treated narrowed area. The balloon is then inflated, and the medication on the balloon surface is delivered to the artery wall and surrounding tissue. After a designated period of time, the balloon is deflated and removed from the body.

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