Frequently asked questions | (Supervised) exercise therapy | Endovascular treatment (with or without stenting) | Surgery (Endarterectomy or bypass) |
---|---|---|---|
What does the treatment entail? | You will exercise on a treadmill (supervised by a physical therapist) to increase your overall and pain-free walking distance. You also receive weight training exercises to practice at home. | A wire is inserted into the artery in your groin. Attached to this wire is a balloon. The balloon is inflated to reduce the narrowing. Sometimes, a tube is left behind to keep the artery open. | ▪ With an ‘endarterectomy’ the artery is opened and the narrowing surgically removed. ▪ With a ‘bypass’ either one of your own veins or an artificial tube is used to bypass the narrowed artery. |
You will also continue to take medication to prevent a heart attack or stroke. | You will also continue to take medication to prevent a heart attack or stroke. | You will also continue to take medication to prevent a heart attack or stroke. | |
What are the benefits of this treatment? | Your general condition will improve due to exercise therapy. There are no treatment risks. | Your complaints will be less immediately after endovascular treatment. | Your complaints will be less immediately after surgery. |
What are the main risks associated with the treatment? | You will not have an immediate effect of exercise therapy. It takes about 3 to 6 months before you experience improvement. Some patients will not be able to walk completely pain-free after exercise therapy. | You may suffer from a hematoma (bruise), a reduced kidney function, or the endovascular treatment might even worsen your complaints. | You may suffer from a hematoma (bruise), a wound infection, or the surgery might even worsen your complaints. |
What is the effect of the treatment? | After 6 months of exercise therapy, patients like yourself are able to walk twice as far as before the exercise therapy. | Two years after endovascular treatment, the walking distance is about the same as after exercise therapy only. | Two years after surgery, the walking distance is about the same as after exercise therapy only. |
Will I receive anaesthesia? | No. | Yes; local anaesthesia. | Yes; general or local anaesthesia. |
How long do I stay in the hospital? | No hospital stay. | Usually 1 to 2 days. | Usually 1 week. |
What is the risk of losing my leg (amputation)? | 1 to 3 of 100 people (1–3%) with intermittent claudication have an amputation within 10 years. | 1 to 3 of 100 people (1–3%) with intermittent claudication have an amputation within 10 years. | 1 to 3 of 100 people (1–3%) with intermittent claudication have an amputation within 10 years. |
What more should I need to know about intermittent claudication? | Exercise therapy does not prevent worsening of the disease. In case of insufficient results, endovascular treatment and surgery are still possible. | Endovascular treatment does not prevent worsening of the disease. Even if you have undergone this treatment, exercise therapy will remain helpful. | Surgery does not prevent worsening of the disease. Even if you have undergone surgery, exercise therapy will remain helpful. |
What can I do myself? | The most important things you can do to prevent worsening of the disease is to quit smoking, take plenty of exercise, healthy food, and live a healthy life. | The most important things you can do to prevent worsening of the disease is to quit smoking, take plenty of exercise, healthy food, and live a healthy life. | The most important things you can do to prevent worsening of the disease is to quit smoking, take plenty of exercise, healthy food, and live a healthy life. |