If you have complaints of discomfort when climbing stairs, cramping of the legs, pain that starts in the legs when walking more, pay attention! There may be stenosis and congestion in your leg veins. With the minimally invasive method, it is possible to open these vessels through a small incision

Istanbul Florya MedicalPark Hospital, Interventional Radiology Specialist Dr. he explained the causes and treatment methods of ‘lower extreme arteries’, that is, stenoses or blockages that occur in the leg arteries. Specialist Dr. “What is peripheral arterial disease?” he answered the following question: “Vascular occlusion or stenosis of the leg is a stenosis or blockages that occur in one or more of the arteries that supply the leg. This is called ‘Peripheral artery’ disease. Blockage or narrowing of the leg veins; it is the most common vascular disease after blockage of the vessels of the heart, neck and brain.” An expert who emphasizes that arteries are the vessels that feed the organs. Dr. “Blockage or narrowing of these vessels in the leg prevents adequate nutrition of the leg muscles. Our legs are our organs that carry us and significantly meet the weight of the body, and the oxygen demand of the leg muscles increases during movement, hence the need for blood.  As a result of this blood requirement not being met at an adequate rate, complaints such as pain in the legs, cramping, difficulty walking, difficulty climbing stairs begin,” he said.


The expert also pointed out that the characteristic feature of the pain caused by blockage or narrowing of the leg arteries is that the pain occurs while walking. Dr. “That is, not when we are sitting or resting. Pain occurs when we start walking during movement. Because during rest, the leg needs very little blood (nutrients and oxygen), while when we walk, the pain increases because it cannot meet the increased need due to stenosis or congestion,” he said.


Specialist Dr., he also emphasized that if the stenosis progresses and complete obstruction develops, a wound on the toes, heel that does not heal for a long time, or gangrene may develop if it gets worse.


An expert who also provides information about intravascular (endovascular) procedures used for the treatment of blockages or strictures in the arteries. Dr., he said the following about angioplasty and stent treatments:


Angioplasty is a minimally invasive procedure performed through a small incision used to widen a narrowed or blocked artery. Usually, a balloon catheter is used to open an arterial narrowing or blockage. During the procedure, a balloon catheter is placed in the narrowed area and then inflated, helping to expand the artery. This relieves symptoms by improving blood flow and provides adequate oxygen and nutrients to the tissues.

Stent Application:

Stent therapy is a method used to keep arterial narrowing or blockages open and ensure that the enlarged artery remains stable. A stent is a small tube, usually made of a metal wire, and is placed inside the narrowing artery. The stent is inserted along with the dilation of the artery during the balloon angioplasty procedure and then kept in an enlarged state. This ensures that the artery remains open and regulates blood flow. Stents may be coated with medication to prevent plaque buildup, usually at the constriction site.


He also stated that angioplasty and stent treatments are effective methods to relieve the symptoms caused by stenosis and blockages in peripheral arteries, improve circulation and prevent complications. Dr., he said: “These procedures are performed by interventional radiology specialists and cardiologists, and the procedure is performed in the angiography unit under local anesthesia. After the procedure, necessary inspections are performed and our patients are discharged. Which treatment method will be used for which patient depends on the patient’s condition, the location of the vascular lesion, its severity and health history. With early diagnosis, early intervention, the result is a laughable.”


Expert who says that artery constrictions and blockages occur as a result of the interaction of a number of factors. Dr., told the most common reasons listed:

1- Vascular Plaque Formation (Atherosclerosis):

It is the most common cause of vessel constriction and obstruction. It is the formation of plaques formed by the accumulation of fat, cholesterol and other substances on the artery walls. These plaques narrow or clog the arteries.

2- Smoking:

It accelerates the accumulation of plaque on the artery walls and can cause narrowing or blockage of the arteries. In addition, smoking damages the vascular walls, which facilitates the formation of plaque.

3- Sugar (Diabetes) Disease:

Diabetes can lead to damage to the vascular walls due to high blood sugar levels. This in turn increases the risk of vascular plaque formation and can cause vascular blockages.

4- High Blood Pressure (Hypertension):

High blood pressure can damage the artery walls, accelerating the formation of vascular plaque and causing narrowing of the arteries.

5- High Cholesterol:

It can accelerate the formation of plaque in the arteries and cause vascular blockages.

6- Genetic Factors:

People with a family history of heart disease or vascular disease are at risk of developing vascular constrictions and blockages due to a genetic predisposition.

7- Obesity:

Being overweight or obese can increase the risk of developing factors such as high blood pressure, high cholesterol and diabetes, which increases the risk of developing vascular diseases.

8- Aging:

The aging process can reduce the elasticity and functionality of the arteries, which can increase the risk of developing vascular constrictions and blockages.

9- Inactivity:

Not exercising regularly can lead to weight gain, high blood pressure and high cholesterol levels, increasing the risk of vascular diseases.

10- Other Factors:

Certain infections, inflammatory conditions, immune system disorders, and certain medications can also contribute to vascular constrictions and blockages.



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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