Dr Ashish Gupta
Dr Ashish Gupta M.B.B.S, M.D, FVIR is a vascular and interventional radiologist. He did his MBBS from KIMS, Bangalore and post-graduation (M.D) Radiology from Bareilly, U.P. He completed his super speciality training (FVIR) from Sir Gangaram Hospital, Delhi, India.
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Dr Ashish Gupta- Interventional Radiologist, Sr. Consultant.
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Professional Associations
He has been actively involved in setting up a new interventional radiology suite and department at Maharaja Agrasen Hospital, Punjabi Bagh, New Delhi.
Experience
Dr Ashish Gupta has worked as a consultant in Sir Gangaram Hospital, Jaypee Hospital, Noida and Rajiv Gandhi cancer institute and research center, New Delhi.
Peripheral vascular disease (PVD) is the narrowing or blockage of arteries due to plaque formation in arteries, thereby leading to poor blood flow to the affected area. It commonly affects the legs but may be seen in arms, kidneys etc.
Diabetic foot ulcer, seen in diabetic patients with PVD and uncontrolled blood sugar levels, develops due to injury to foot or blisters in toes or heel of foot leading to ulcer formation.
Causes and risk factors of peripheral vascular diseases:
Smoking, diabetes mellitus, kidney disease, excessive alcohol consumption and poor hygiene.
Symptoms of PVD:
It is a slowly progressive disease. Most patients present with leg pain, or pain in buttocks, thigh or leg while walking which resolves after rest.
Non healing ulcers in leg or foot.
Numbness or fatigue in legs
The affected leg or foot is colder in comparison to other.
Changes in skin color from pale, redness to blue color.
Diagnosis of peripheral vascular disease:
Ankle brachial index: the first test conducted by interventional radiologist for the diagnosis of peripheral vascular disease.
Doppler ultrasound: Using the ultrasound machine, blood flow is checked in the affected limb to look for arterial blockage.
CT angiography: it is the most reliable non-invasive test to review the detailed images of blood vessels and for diagnosing blockage.
Angiography: it's the gold standard test to check flow and detect blockage or narrowing of arteries. In this, a thin flexible tube is inserted into the artery of a leg via which a dye is injected. The spread of the dye is seen on X-ray.
How to prevent peripheral vascular disease?
Treatment of peripheral vascular disease:
Medical management: medications are prescribed to control the progression of disease. If medications don't resolve symptoms then revascularisation may be recommended.
Angioplasty: in this, a thin tube with a balloon tip is inserted into the blood vessel and the balloon is inflated which leads to opening of the diseased vessel.
Stenting: in some cases, angioplasty alone is not sufficient and for those cases, a stent is placed inside the diseased blood vessel.
Vascular surgery / bypass surgery: consultation and evaluation by interventional radiologist should be considered before opting for surgery.
Frequently asked question from Dr Ashish Gupta
1. When to see interventional radiologist?
Most of the patients don't have symptoms. A delay in diagnosis and treatment may lead to complications. If anyone experiences the above mentioned symptoms, it's best to consult a doctor.
2. How do you treat diabetic gangrene in the foot?
Diabetic gangrene occurs when a foot ulcer or wound becomes infected and progresses to tissue death (gangrene) due to poor circulation, neuropathy, and impaired immune function commonly associated with diabetes. The treatment of diabetic gangrene in the foot is a complex and serious medical intervention that often involves a multi-disciplinary approach.Quick intervention is essential to prevent the spread of infection and also to prevent the need for more extensive amputations. Here are the steps and interventions involved in the treatment of diabetic gangrene:
Revascularization: An interventional radiologist assesses the blood flow to the affected foot. In some cases, revascularization procedures, such as angioplasty/stent placement may be necessary to improve blood circulation to the area.
Surgical Intervention: Depending on the extent of the gangrene, a surgical procedure may be required.
If you or someone you know is at risk for diabetic foot complications, it's crucial to manage diabetes properly, regularly inspect the feet, and seek medical attention for even minor wounds, sores, or signs of infection. Preventive care is essential in reducing the risk of diabetic foot complications, including gangrene.
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