{"id":384,"date":"2026-01-07T06:35:57","date_gmt":"2026-01-07T06:35:57","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=384"},"modified":"2026-04-11T03:56:07","modified_gmt":"2026-04-11T03:56:07","slug":"lower-extremity-arteriosclerosis-obliterans-lead","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/cardiology\/lower-extremity-arteriosclerosis-obliterans-lead\/","title":{"rendered":"Peripheral Artery Disease \u2014 EVT"},"content":{"rendered":"<section class=\"op-section disease\">\n<header class=\"disease-header\">\n    <!-- Key takeaways --><\/p>\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Evaluation<\/div>\n<div class=\"disease-kpi__value\">Same-day assessment for suspected LEAD<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Clinical focus<\/div>\n<div class=\"disease-kpi__value\">Early detection to prevent progression to critical limb ischemia<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Methods<\/div>\n<div class=\"disease-kpi__value\">ABI and vascular ultrasound<\/div>\n<\/p><\/div>\n<\/div>\n<p class=\"disease-lead\">\n  Lower extremity arteriosclerosis obliterans (LEAD) is caused by atherosclerosis affecting the arteries of the legs.<br \/>\n  Early diagnosis and timely treatment are important to prevent disease progression, including tissue damage and possible amputation.<br \/>\n  Evaluation is performed using ABI and vascular ultrasound, often on the same day as the initial visit.\n<\/p>\n<\/header>\n<p><!-- Content rows --><\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>What it is<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Atherosclerosis can affect not only the heart and brain, but also the arteries supplying the legs.<br \/>\n        When blood flow to the lower extremities is reduced due to arterial narrowing or obstruction, the condition is referred to as<br \/>\n        <strong>lower extremity arteriosclerosis obliterans (LEAD)<\/strong>.\n      <\/p>\n<p class=\"disease-muted\">\n        The presence of LEAD may indicate atherosclerosis in other vascular territories, including the coronary and cerebral arteries.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Typical symptoms<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        A characteristic symptom is <strong>intermittent claudication<\/strong>:<br \/>\n        discomfort or pain in the calf during walking that improves with rest, allowing walking to resume.\n      <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li>\n            <strong>Common early sign:<\/strong><br \/>\n            Calf pain or heaviness during walking that improves with short rest\n          <\/li>\n<li>\n            <strong>Why it may be overlooked:<\/strong><br \/>\n            Symptoms are sometimes attributed to muscle fatigue or aging\n          <\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n        Early detection is important, as treatment is more effective before the disease progresses.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Why it can be serious<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        In advanced cases, LEAD may progress to <strong>critical limb ischemia<\/strong>.<br \/>\n        This can result in tissue damage, non-healing wounds, infection, and in severe cases, <strong>amputation<\/strong>.\n      <\/p>\n<p class=\"disease-muted\">\n        LEAD is more common in patients with <strong>diabetes<\/strong> and those receiving <strong>dialysis<\/strong>.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Our evaluation<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Blood flow is assessed using <strong>ABI<\/strong> (ankle\u2013brachial index) and <strong>vascular ultrasound<\/strong>,<br \/>\n        allowing non-invasive evaluation of arterial narrowing and perfusion.\n      <\/p>\n<p class=\"disease-muted\">\n        Evaluation is performed promptly, often on the same day as the initial visit.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n      Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.\n    <\/p>\n<p class=\"disease-muted\">\n      For appointment requests and language support, please see the<br \/>\n      <a href=\"\/en\/departments\/cardiology\/#contact\">Cardiology<\/a> page.\n    <\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Evaluation Same-day assessment for suspected LEAD Clinical focus Early detection to prevent progression to critical limb ischemia Methods ABI and vascular ultrasound Lower extremity arteriosclerosis obliterans (LEAD) is caused by atherosclerosis affecting the arteries of the legs. Early diagnosis and timely treatment are important to prevent disease progression, including tissue damage and possible amputation. Evaluation [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":373,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-384","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/384","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=384"}],"version-history":[{"count":3,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/384\/revisions"}],"predecessor-version":[{"id":1323,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/384\/revisions\/1323"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/373"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=384"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}