• Gleneagles Medical Centre, 6 Napier Road, #08-08, S258499
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Consultation Fees (In Clinic)

First Consultation (within 30 min)

$195.00 and above

Long First Consultation (within 30 - 60 min)

$295.00 and above

Follow-up Consultation (within 30 min)

$120.00 and above

Long Follow-up Consultation (within 30-60 min)

$195.00 and above

Emergency Consultation (W/IN 30 min)

$350.00 and above

Emergency Long Consultation (W/IN 30-60 min)

$500.00 and above

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Home|Peripheral Artery Disease

Peripheral Artery Disease

What is Peripheral Arterial Disease ?

Peripheral artery disease (PAD) is a common circulatory problem in which narrowed arteries reduce blood flow to your legs and feet. When you develop PAD, your legs do not receive enough blood flow to keep up with the demand especially during exercise. PAD is caused by a process called atherosclerosis, the build-up of fatty deposits in the arteries that narrows and blocks arteries throughout the body, including in the heart, brain, arms, legs, abdomen and kidneys.

Symptoms

Many people mistake the symptoms of PAD for something else and this condition often goes undiagnosed by health care professionals. People with PAD have a higher risk of coronary artery disease, heart attack and stroke. Left untreated, PAD can lead to gangrene and major leg amputation.
  • Leg and buttock pain when walking (claudication)
  • Rest pain (typically at night when you are lying down)
  • Non-healing foot wounds, which may turn black, also known as gangrene, or get infected

Risk factors

  • Older age
  • Smoking
  • High blood pressure
  • High cholesterol
  • Being diabetic (approximately 12% prevalence in Singapore). Furthermore having chronic kidney disease or end stage kidney disease and being dependent on blood or water dialysis can increase your risk of PAD and make the condition worse to treat.

Treatment Options

Vascular and peripheral arterial health screening and risk factor modification and optimisation

Using the most up-to-date medications to minimise risk of PAD progression and heart problems.

Lower limb angioplasty and stenting

A minimally invasive technique using a needle to insert a wire into the groin artery and use balloons and/ or stents to open up the blocked leg and foot arteries.
lower-limb-angioplasty-and-stenting

Lower limb percutaneous atherectomy

A special form of minimally invasive surgery whereby a special device is temporarily inserted into the groin artery to remove the fatty/ cholesterol build up in the leg arteries and may be used in conjunction with ballooning and stenting.

Lower-limb-percutaneous-atherectomy

Open peripheral arterial bypass/ endarterectomy surgery

Sometimes the blocked leg arteries are too severe and extensive to be opened up with keyhole methods such as angioplasty and an open bypass using the patient’s vein or an artificial tube may be better to improve blood supply to the leg.

Hybrid procedure (combined open and minimally access) peripheral arterial surgery

For different parts of the blocked leg arteries.

Our Screening Packages (Non-insurance)

Varicose veins screening package (single leg)

  • Consultation & Review – assess history, risk factors, life style, symptoms
  • Examination – to check distribution and anatomy plus to assess skin problem
  • Ultrasound reflux scan – to check for venous insufficiency (two legs add $450 + GST)
  • $588 + GST

Spider veins screening package (single leg)

  • Consultation & Review – assess history, risk factors, life style, symptoms
  • Examination – to check distribution and anatomy plus to assess skin problem
  • 1 session laser treatment – (additional session $450 + GST)
  • $588 + GST

Varicose veins and spider veins package (single leg)

  • Consultation & Review – assess history, risk factors, life style, symptoms
  • Examination – to check distribution and anatomy plus to assess skin problem
  • Ultrasound reflux scan – to check for venous insufficiency (two legs add $450 + GST)
  • 1 session spider vein laser treatment (additional session 450 + GST)
  • $988 + GST (two legs – add $400 + GST)

Diabetic foot screening (basic)

  • Consultation & Review – assess history, risk factors, life style, symptoms
  • Examination – to check circulation, biomechanics of foot arch, sensory loss
  • Ankle brachial pressure index (lab) – to check blood flow in legs
  • Blood test – to check average sugar levels in 3 months
  • $388 + GST

Diabetic foot screening (extensive)

  • Consultation & Review – assess history, risk factors, life style, symptoms
  • Examination – to check circulation, biomechanics of foot arch, sensory loss
  • Ankle brachial pressure index (lab) – to check blood flow in legs
  • Blood test – to check average sugar levels in 3 months
  • Single leg arterial duplex – to identify specific artery problem (additional leg scan $400 + GST)
  • X-ray one foot – to check bone infection
  • $888 + GST

Cardiovascular screening (normal)

  • Consultation & Review – assess history, risk factors, life style, symptoms
  • Examination – full cardiovascular examination including the heart and limb arteries
  • Ankle brachial pressure index (lab) – this is a marker for longevity and cardiovascular health
  • Blood tests (lipids) – to check all the types of cholesterol
  • Carotid scan – to identify block artery to the brain hence stroke
  • Echocardiogram – to identify heart muscle function
  • $1098 + GST

Cardiovascular screening (comprehensive)

  • Consultation & Review – assess history, risk factors, life style, symptoms
  • Examination – full cardiovascular examination including the heart and limb arteries
  • Ankle brachial pressure index (lab) – this is a marker for longevity and cardiovascular health
  • Blood tests (lipids) – to check all the types of cholesterol
  • Carotid scan – to identify block artery to the brain hence stroke
  • CT coronary Angiogram plus calcium score – gold standard to identify block heart arteries
  • $2098 + GST

Our Doctors

Dr Julian Wong

Dr Julian Wong

Senior Vascular & General Surgeon
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Dr Tang Tjun Yip

Dr Tang Tjun Yip

Senior Vascular & General Surgeon
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Conditions We Treat