Lower Limb Ischaemia
‘Intermittent claudication’ - cramp-like muscular pain which affects the legs - can be caused by blockages of one or more of the major arteries supplying the legs. This is a relatively common problem and is one of the manifestations of atherosclerosis (hardening of the arteries), the others being angina/heart attack and stroke.
Treatment is initially focussed on controlling any risk factors patients may possess, such as smoking, diabetes, hypercholesterolemia and hypertension (high blood pressure). Only a minority of patients with intermittent claudication progress to having such poor circulation that their leg is in critical danger of serious damage, and beyond saving.
At Spire Murrayfield Hospital, patients with arterial disease are assessed clinically, by means such as measurement of Doppler ankle pressures. Nowadays, investigation of arterial disease is completely non-invasive and we can offer duplex ultrasound scanning and magnetic resonance angiography.
Mr Chalmers has significant clinical experience in the management and treatment of lower limb ischemia, including balloon angioplasty, stenting, endarterectomy and surgical bypass. He has published extensively on the subject and his Doctor of Medicine thesis reported research aimed at improving the results of lower limb bypass.